Memorial Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEMORIAL PHARMACY

Practice address

7017 S Staples St Ste 103B
Corpus Christi, TX 78413-5507

Phone

(504) 782-1733

Fax

(504) 782-1733

NPI assigned

Feb 8, 2021

Organization subpart

No

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

Authorized official

Name

Tete E Koffie-Lartevi, PHARMDNPI 1851047617

Title

Pharmacist

Phone

(504) 782-1733

Specialties & licenses 5

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tete E Koffie-Lartevi, PHARMD

  • Pharmacist
  • Corpus Christi, TX
  • NPI 1851047617
  NPD Authorized official

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1952993305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 S ALAMEDA ST APT 13P",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111848",
            "telephone_number": "504-782-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 S STAPLES ST STE 103B",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135507",
            "telephone_number": "504-782-1733",
            "fax_number": "504-782-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "KOFFIE-LARTEVI",
        "authorized_official_first_name": "TETE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "504-782-1733",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "memorialpharmacy@yahoo.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "7017 S Staples St Ste 103B",
            "city": "Corpus Christi",
            "state": "TX",
            "country_code": "US",
            "postal_code": "784135507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Victor Melgoza, MD
• Melissa K. Rollins, M.S., LPC, PLLC
• Christen Federico Melo
• Dee Ann Melugin, LCSW
• Jacki Ray Melvin, REGISTERED NURSE
• Millie Mendez - Estrada, MSN, APRN, FNP-BC
• Rachel Marie Mendez-Naranjo
• Daisy May Mendez
• Lorena Mendez, MS, LPC-S, RPT-S
• Ezequiel Mendieta Jr., B.S., R.PH., M.P.H.

• Community/Retail Pharmacy in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.