Active NPI
Suzanne Oswalt
- Pharmacist
- Vernon, TX
National Provider Identifier
1891240149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 32989
- Practice address
- 3000 Wilbarger St
Vernon, TX 76384 - Phone
- (940) 552-2600
- NPI assigned
- Aug 16, 2016
- Sex
- Female
- 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 | 32989 | TX | Primary |
Addresses
Primary practice location
3000 Wilbarger St
Vernon, TX 76384
Mailing address
3000 Wilbarger St
Vernon, TX 76384-4574
Phone (940) 552-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32989 | Other | TX | TEXAS STATE BOARD OF PHARMACY |
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 |
|---|---|---|---|
| 32989 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Supermarkets LLC | Past | Accepting new patients | |
| United Supermarkets LLC | 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.
-
- Community/Retail Pharmacy
- Vernon, TX
- NPI 1750372207
-
- Community/Retail Pharmacy
- Rio Rancho, NM
- NPI 1346061900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527206400000",
"number": "1891240149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 WILBARGER ST",
"city": "VERNON",
"state": "TX",
"postal_code": "763844574",
"telephone_number": "940-552-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 WILBARGER ST",
"city": "VERNON",
"state": "TX",
"postal_code": "76384",
"telephone_number": "940-552-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSWALT",
"first_name": "SUZANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-16",
"last_updated": "2018-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "32989",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE BOARD OF PHARMACY",
"identifier": "32989",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vernon, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.