Active NPI
Kelly Tiffany Hoggatt, PHARMACIST
- Pharmacist
- League City, TX
National Provider Identifier
1902401854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44739
- Practice address
- 3013 Marina Bay Dr
League City, TX 77573-2875 - Phone
- (281) 538-2416
- NPI assigned
- Nov 30, 2020
- Last updated
- Nov 30, 2020
- 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 | 44739 | TX | Primary |
Addresses
Primary practice location
3013 Marina Bay Dr
League City, TX 77573-2875
Mailing address
3013 Marina Bay Dr
League City, TX 77573-2875
Phone (832) 621-7062
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1902401854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3013 MARINA BAY DR",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775732875",
"telephone_number": "832-621-7062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3013 MARINA BAY DR",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775732875",
"telephone_number": "281-538-2416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOGGATT",
"first_name": "KELLY",
"middle_name": "TIFFANY",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "44739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in League City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.