Lionel Buma Tita

Primary specialty

PharmacistTaxonomy code 183500000X

License

68297 Issued in TX

Practice address

5976 Old Jacksonville Hwy
Tyler, TX 75703-0582

Phone

(903) 405-6215

NPI assigned

Mar 16, 2021

Last updated

Mar 16, 2021By 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

State licenses

Practice roles

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.

• Wal-Mart Stores Texas, LLC

  dba Walmart Pharmacy 10-1484

  • Community/Retail Pharmacy
  • Melissa, TX
  • NPI 1386521797
  NPD (past)

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1851976351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 AMBROSE AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757042028",
            "telephone_number": "713-498-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5976 OLD JACKSONVILLE HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030582",
            "telephone_number": "903-405-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITA",
        "first_name": "LIONEL",
        "middle_name": "BUMA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "68297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "34126033",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tinsley Associates, LLP (Elara Caring)
• Pat A Tippitt
• Tisbet, LLC (Home Instead Senior Care)
• Maria Teresa Tiscareno, LMSW
• Collins Tita
• Titan Dental 1 PLLC (Titan Dental)
• Hannah Titlow, RN
• Karlee Tittle
• Titus County Hospital District (Pinecrest Nursing & Rehabilitation Center)
• Yasmilett Tobar

• Pharmacist in Tyler, TX
• Providers in Tyler, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.