Jeanette Rowe-Thomas, PHARMD
Individual provider Active NPI Pharmacist · Bridgeport, TX
NPI 1053900522 · NPPES record last updated Jan 11, 2021
Key facts
- NPI
- 1053900522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 43647 (TX)
- Practice address
- 810 WW Ray Cir
Bridgeport, TX 76426-2061 - Phone
- (940) 683-4011
- NPI assigned
- Jan 11, 2021
- Sex
- Female
- Sole proprietor
- No
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43647 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longbines Pharmacy Inc | Past |
Accepting new patients |
Interoperability endpoints
- gailspharmacy@embarqmail.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 43647 | TX | Yes |
Addresses
Primary practice location
810 WW Ray Cir
Bridgeport, TX 76426-2061
Mailing address
188 Private Road 3478
Paradise, TX 76073-4329
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Gailspharmacy@embarqmail.com | Direct |
Other providers in Bridgeport, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2021. 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.