Kris Noonan
Individual provider Active NPI Pharmacist · Hondo, TX
NPI 1811237878 · NPPES record last updated Feb 27, 2013
Key facts
- NPI
- 1811237878
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 35227 (TX)
- Practice address
- 609 19TH St
Hondo, TX 78861-2504 - Phone
- (830) 741-7172
- NPI assigned
- Feb 27, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 35227 | TX | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 35227 | TX | Yes |
Addresses
Primary practice location
609 19TH St
Hondo, TX 78861-2504
Mailing address
609 19TH St
Hondo, TX 78861-2504
Phone (830) 741-7172
Other providers in Hondo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2013. 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.