Active NPI
Fabrice Lionel Pougoue Ngomsi
- Pharmacy Technician
- Austin, TX
National Provider Identifier
1760013619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- Practice address
- 12041 Dessau Rd Apt 2309
Austin, TX 78754-1729 - Phone
- (501) 650-4707
- NPI assigned
- Jan 30, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | Primary |
Addresses
Primary practice location
12041 Dessau Rd Apt 2309
Austin, TX 78754-1729
Mailing address
12041 Dessau Rd Apt 2309
Austin, TX 78754-1729
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1760013619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12041 DESSAU RD APT 2309",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787541729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12041 DESSAU RD APT 2309",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787541729",
"telephone_number": "501-650-4707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POUGOUE NGOMSI",
"first_name": "FABRICE LIONEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-30",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.