Elizabeth E Ataboong, RPH
Individual provider Active NPI Pharmacist · Sachse, TX
NPI 1760039150 · NPPES record last updated Aug 21, 2019
Key facts
- NPI
- 1760039150
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 49199 (TX)
- Practice address
- 6750 Murphy Rd
Sachse, TX 75048-2800 - Phone
- (469) 366-3957
- Fax
- (469) 366-3944
- NPI assigned
- Aug 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49199 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores Texas, LLC | Past |
Accepting new patients | |
| Wal-Mart Stores Texas LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 49199 | TX | Yes |
Addresses
Primary practice location
6750 Murphy Rd
Sachse, TX 75048-2800
Mailing address
1314 W McDermott Dr Ste 106-530
Allen, TX 75013-3021
Phone (469) 366-3957
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Allen | Direct |
Other providers in Sachse, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2019. 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.