Individual provider Active NPI

James Stewart Beitel, RPH

  • Pharmacist
  • Boerne, TX
National Provider Identifier
1013221852
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21743 Issued in TX
Practice address
1223 S Main St
Boerne, TX 78006-2813
Phone
(830) 249-9585
Fax
(830) 249-9485
NPI assigned
Aug 4, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21743 TX Primary

Addresses

Primary practice location

1223 S Main St
Boerne, TX 78006-2813

Mailing address

234 W Bandera Rd # 327
Boerne, TX 78006-2805
Phone (210) 857-0847

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

LicenseStateTypeSpecialty
21743TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1013221852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 W BANDERA RD # 327",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062805",
            "telephone_number": "210-857-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 S MAIN ST",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062813",
            "telephone_number": "830-249-9585",
            "fax_number": "830-249-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEITEL",
        "first_name": "JAMES",
        "middle_name": "STEWART",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "21743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.