Jessica Lynn Chapa

Individual provider Active NPI Pharmacy Technician · Kenedy, TX

NPI 1811615503 · NPPES record last updated Aug 18, 2022

Key facts

NPI
1811615503
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
Practice address
107 N Sunset Strip St
Kenedy, TX 78119-2208
Phone
(830) 583-9155
NPI assigned
Aug 18, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
H-E-B, LP Past
since Aug 28, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X TX Yes

Addresses

Primary practice location

107 N Sunset Strip St
Kenedy, TX 78119-2208

Mailing address

107 N Sunset Strip St
Kenedy, TX 78119-2208
Phone (830) 583-9155

Other providers in Kenedy, TX

All providers in Kenedy, TX · Pharmacy Technician in Texas

Sources for this page

Verify at the official NPI Registry.