Active NPI
Antoinette Grice, RPH
- Pharmacist
- Devine, TX
National Provider Identifier
1942890157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67717
- Practice address
- 175 Interstate 35 N
Devine, TX 78016-4466 - Phone
- (830) 663-5964
- NPI assigned
- Jan 21, 2021
- Last updated
- Jan 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 67717 | TX | Primary |
Addresses
Primary practice location
175 Interstate 35 N
Devine, TX 78016-4466
Mailing address
175 Interstate 35 N
Devine, TX 78016-4466
Phone (830) 663-5964
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67717 | TX | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores Texas LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Walmart Pharmacy 10-4103
- Community/Retail Pharmacy
- Devine, TX
- NPI 1205244068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1942890157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 INTERSTATE 35 N",
"city": "DEVINE",
"state": "TX",
"postal_code": "780164466",
"telephone_number": "830-663-5964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 INTERSTATE 35 N",
"city": "DEVINE",
"state": "TX",
"postal_code": "780164466",
"telephone_number": "830-663-5964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRICE",
"first_name": "ANTOINETTE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-21",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "67717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Devine, TX
- Cassandra Ann Eads
- English Chiropractic
- Alice Esquivel
- Fresenius Medical Care West San Antonio, LLC (Fresenius Kidney Care Devine Home)
- Leonor Garza
- Deborah A Guerra, APRN
- Heartland Hospice and Home Health LLC
- Ariana Hernandez
- Hondo Hosptial Authority (Medical Clinic of Devine Thsteps)
- Jay C. Hudson, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.