Individual provider Active NPI

Elizabeth Serna, PHARM.D.

  • Pharmacist
  • Houston, TX
National Provider Identifier
1902191869
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
48997 Issued in TX
Practice address
427 W 20TH St Ste 105
Houston, TX 77008-2425
Phone
(713) 869-2225
NPI assigned
Jun 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 48997 TX Primary

Addresses

Primary practice location

427 W 20TH St Ste 105
Houston, TX 77008-2425

Mailing address

427 W 20TH St Ste 105
Houston, TX 77008-2425
Phone (713) 869-2225

Other practice location 1

255 Fm 2094 Rd
T-1377
Clear Lake Shores, TX 77565-2671
Phone (281) 538-7957

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
48997TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
P.S.P. Enterprise Inc. Current Accepting new patients
P.S.P Enterprise Inc Current Accepting new patients

Locations

427 W 20th St
Ste 105
Houston, TX 77008
Phone (713) 869-2225

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": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1902191869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 W 20TH ST STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770082425",
            "telephone_number": "713-869-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 W 20TH ST STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770082425",
            "telephone_number": "713-869-2225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Fm 2094 Rd",
            "address_2": "T-1377",
            "address_purpose": "LOCATION",
            "city": "Clear Lake Shores",
            "state": "TX",
            "postal_code": "775652671",
            "country_code": "US",
            "telephone_number": "281-538-7957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERNA",
        "first_name": "ELIZABETH",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "48997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.