NPIMap

Individual provider Active NPI

Fatma Idris

  • Pharmacist
  • Lancaster, TX
National Provider Identifier
1831343672
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
044827-1 Issued in NY
Practice address
2962 S Longhorn Dr
Lancaster, TX 75134-2118
Phone
(972) 228-6230
Fax
(972) 228-5646
NPI assigned
Nov 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 044827-1 NY Primary
Pharmacist 183500000X 14484 MD

Addresses

Primary practice location

2962 S Longhorn Dr
Lancaster, TX 75134-2118

Mailing address

2962 S Longhorn Dr
Lancaster, TX 75134-2118
Phone (972) 228-6230

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

State licenses

LicenseStateTypeSpecialty
14484MDMDProfessional Counselor
044827-1NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster VA Cmop Past Accepting new patients
VA Cmop Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1831343672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2962 S LONGHORN DR",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751342118",
            "telephone_number": "972-228-6230",
            "fax_number": "972-228-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2962 S LONGHORN DR",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751342118",
            "telephone_number": "972-228-6230",
            "fax_number": "972-228-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDRIS",
        "first_name": "FATMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "044827-1",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "14484",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.