Individual provider Active NPI

Jo A Hall-Gomes, PHARM D

  • Pharmacist
  • Mansfield, TX
National Provider Identifier
1053790378
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
32258 Issued in TX
Practice address
2205 Lexington Dr
Mansfield, TX 76063-3789
Phone
(214) 704-6859
NPI assigned
May 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 32258 TX Primary
Pharmacist 183500000X 14002 LA

Addresses

Primary practice location

2205 Lexington Dr
Mansfield, TX 76063-3789

Mailing address

2205 Lexington Dr
Mansfield, TX 76063-3789
Phone (214) 704-6859

Other names 1

  • Jo Ann Hall Other name

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
32258TXMDProsthodontist
14002LAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1053790378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 LEXINGTON DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633789",
            "telephone_number": "214-704-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 LEXINGTON DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633789",
            "telephone_number": "214-704-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL-GOMES",
        "first_name": "JO",
        "middle_name": "A",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "32258",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "14002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JO",
            "last_name": "HALL",
            "middle_name": "ANN",
            "credential": "PHARMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.