Active NPI
Ernest Pack
- Pharmacist
- Odessa, TX
National Provider Identifier
1831493014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18946
- Practice address
- 319 Golder Ave
Odessa, TX 79761-5009 - Phone
- (432) 550-4453
- Fax
- (432) 335-8327
- NPI assigned
- Jan 3, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 18946 | TX | Primary |
Addresses
Primary practice location
319 Golder Ave
Odessa, TX 79761-5009
Mailing address
319 Golder Ave
Odessa, TX 79761-5009
Phone (432) 550-4453
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18946 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294012800000",
"number": "1831493014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 GOLDER AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797615009",
"telephone_number": "432-550-4453",
"fax_number": "432-335-8327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 GOLDER AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797615009",
"telephone_number": "432-550-4453",
"fax_number": "432-335-8327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACK",
"first_name": "ERNEST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-03",
"last_updated": "2011-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "18946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.