Ernest Ted Zieschang, RPH
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · White Settlement, TX
NPI 1003420787 · NPPES record last updated Sep 1, 2020
Key facts
- NPI
- 1003420787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 27970 (TX)
- Practice address
- 401 S Jim Wright Fwy Ste 102
White Settlement, TX 76108-2681 - Phone
- (866) 361-0300
- Fax
- (866) 361-5900
- NPI assigned
- Sep 1, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27970 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RX.Com Pharmacy | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
1835P0018X | 27970 | TX | Yes |
Addresses
Primary practice location
401 S Jim Wright Fwy Ste 102
White Settlement, TX 76108-2681
Mailing address
10105 Oncilla CT
Godley, TX 76044
Phone (936) 635-9021
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27970 | Other | TX | TEXAS STATE BOARD OF PHARMACY LICENSE NUMBER |
Other providers in White Settlement, TX
- White Settlement Isd
- White Settlement Nursing Center, L.P.
- White Settlement SNF LLC
- Julie Wilson
- Lontricia Wilson
All providers in White Settlement, TX · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2020. 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.