Anna Cao
Individual provider Active NPI Pharmacist · Palestine, TX
NPI 1730802489 · NPPES record last updated Sep 19, 2022
Key facts
- NPI
- 1730802489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 37094 (TX)
- Practice address
- 2107 S Loop 256
Palestine, TX 75801-5919 - Phone
- (903) 723-1092
- Fax
- (903) 729-2652
- NPI assigned
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37094 | TX | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 37094 | TX | Yes |
Addresses
Primary practice location
2107 S Loop 256
Palestine, TX 75801-5919
Mailing address
2107 South Loop 256
Pharmacy
Palestine, TX 75801
Phone (903) 723-1092
Other practice location 1
227 An County Road 2610
Tennessee Colony, TX 75861-3323
Phone (903) 513-7518
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9035137518 | Other | TX | PRIVATE INSURANCE |
| 9035137518 | Medicaid | TX |
Other providers in Palestine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.