Individual provider Active NPI

Anna Cao

  • Pharmacist
  • Palestine, TX
National Provider Identifier
1730802489
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
37094 Issued in TX
Practice address
2107 S Loop 256
Palestine, TX 75801-5919
Phone
(903) 723-1092
Fax
(903) 729-2652
NPI assigned
Sep 19, 2022
Last updated
Sep 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 37094 TX Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37094TXMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1730802489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 SOUTH LOOP 256",
            "address_2": "PHARMACY",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "75801",
            "telephone_number": "903-723-1092",
            "fax_number": "903-729-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 S LOOP 256",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758015919",
            "telephone_number": "903-723-1092",
            "fax_number": "903-729-2652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "227 An County Road 2610",
            "address_purpose": "LOCATION",
            "city": "Tennessee Colony",
            "state": "TX",
            "postal_code": "758613323",
            "country_code": "US",
            "telephone_number": "903-513-7518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAO",
        "first_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "37094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palestine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.