Active NPI
Trasetta Livingston Terry, RPH
- Pharmacist
- Houston, TX
National Provider Identifier
1962776310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17040
- Practice address
- 12503 Avery Vale LN
Houston, TX 77014-2460 - Phone
- (281) 397-8788
- NPI assigned
- Mar 2, 2012
- 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 | 17040 | TX | Primary |
Addresses
Primary practice location
12503 Avery Vale LN
Houston, TX 77014-2460
Mailing address
12503 Avery Vale LN
Houston, TX 77014-2460
Phone (281) 397-8788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17040 | 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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17040 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330646400000",
"number": "1962776310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12503 AVERY VALE LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770142460",
"telephone_number": "281-397-8788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12503 AVERY VALE LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770142460",
"telephone_number": "281-397-8788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "TRASETTA",
"middle_name": "LIVINGSTON",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-02",
"last_updated": "2012-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "17040",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE BOARD OF PHARMACY",
"identifier": "17040",
"state": "TX"
}
],
"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 Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.