Active NPI
Heidi Cavanaugh
- Pharmacist
- San Marcos, TX
National Provider Identifier
1962796110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 46888
- Practice address
- 700 Barnes Dr
T-2438
San Marcos, TX 78666-6187 - Phone
- (512) 392-7961
- Fax
- (512) 392-7961
- NPI assigned
- Jun 6, 2011
- 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 | 46888 | TX | Primary |
Addresses
Primary practice location
700 Barnes Dr
T-2438
San Marcos, TX 78666-6187
Mailing address
700 Barnes Dr
T-2438
San Marcos, TX 78666-6187
Phone (512) 392-7961
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307318400000",
"number": "1962796110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 BARNES DR",
"address_2": "T-2438",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786666187",
"telephone_number": "512-392-7961",
"fax_number": "512-392-7961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 BARNES DR",
"address_2": "T-2438",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786666187",
"telephone_number": "512-392-7961",
"fax_number": "512-392-7961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVANAUGH",
"first_name": "HEIDI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-06",
"last_updated": "2011-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "46888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.