Active NPI
Tristan Linette Teague, PHARMD
- Pharmacist
- Arlington, TX
National Provider Identifier
1790359107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60331
- Practice address
- 506 Fielder North PLZ
Arlington, TX 76012-2309 - Phone
- (817) 274-1696
- Fax
- (817) 861-8743
- NPI assigned
- May 19, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 60331 | TX | Primary |
Addresses
Primary practice location
506 Fielder North PLZ
Arlington, TX 76012-2309
Mailing address
2025 Buffalo Bend Dr
Lewisville, TX 75067-7426
Phone (314) 359-2370
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60331 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Current | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
Locations
506 Fielder North Plz
Arlington, TX 76012
Phone (817) 274-1696
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1790359107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 BUFFALO BEND DR",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750677426",
"telephone_number": "314-359-2370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 FIELDER NORTH PLZ",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760122309",
"telephone_number": "817-274-1696",
"fax_number": "817-861-8743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEAGUE",
"first_name": "TRISTAN",
"middle_name": "LINETTE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-19",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "60331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.