Tete E Koffie-Lartevi, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

43892 Issued in TX

Practice address

7017 S Staples St Ste 103B
Corpus Christi, TX 78413-5545

Phone

(361) 356-6279

NPI assigned

Mar 1, 2022

Last updated

Mar 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Memorial Pharmacy

  • Community/Retail Pharmacy
  • Corpus Christi, TX
  • NPI 1952993305
  NPD Authorized official

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1851047617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S ALAMEDA ST APT 13P",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111848",
            "telephone_number": "504-782-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 S STAPLES ST STE 103B",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135545",
            "telephone_number": "361-356-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOFFIE-LARTEVI",
        "first_name": "TETE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "43892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "43892",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manferd Dee Koch, PHD
• Pavlo Kodak, M.D.
• Charlene Koehler
• Shannon Michelle Koehler, MD, PHD
• Jo S Koepsel, PMHWP
• Ursula Kolenovsky, DT
• Kolich Chiropractic & Rehab, PLLC
• John Kolich, DC
• Stefan J Konasiewicz, MD
• Sridevi Konkimalla, MD

• Pharmacist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.