John Edwards Prewett Jr., R.PH.
Individual provider Active NPI Pharmacist · Giddings, TX
NPI 1003145186 · NPPES record last updated Dec 18, 2009
Key facts
- NPI
- 1003145186
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 22924 (TX)
- Practice address
- 513 E Austin St
Giddings, TX 78942-3305 - Phone
- (979) 542-3308
- Fax
- (979) 542-1658
- NPI assigned
- Dec 18, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookshire Brothers Inc | Past | Accepting new patients | |
| Brookshire Brothers Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22924 | TX | Yes |
Addresses
Primary practice location
513 E Austin St
Giddings, TX 78942-3305
Mailing address
513 E Austin St
Giddings, TX 78942-3305
Phone (979) 542-3308
Other providers in Giddings, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.