Active NPI
Jarrod David Rodriguez, PHARM.D.
- Pharmacist
- Uvalde, TX
National Provider Identifier
1053918037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 64939
- Practice address
- 250 E Main St
Uvalde, TX 78801-5639 - Phone
- (830) 278-3915
- Fax
- (830) 591-2033
- NPI assigned
- Oct 3, 2020
- Last updated
- Dec 19, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 64939 | TX | Primary |
Addresses
Primary practice location
250 E Main St
Uvalde, TX 78801-5639
Mailing address
250 E Main St
Uvalde, TX 78801-5639
Phone (830) 278-3915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64939 | Other | TX | TEXAS STATE BOARD OF PHARMACY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A | Other |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 64939 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
250 E Main St
Uvalde, TX 78801
Phone (830) 278-3915
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1053918037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E MAIN ST",
"city": "UVALDE",
"state": "TX",
"postal_code": "788015639",
"telephone_number": "830-278-3915",
"fax_number": "830-591-2033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 E MAIN ST",
"city": "UVALDE",
"state": "TX",
"postal_code": "788015639",
"telephone_number": "830-278-3915",
"fax_number": "830-591-2033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JARROD",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-03",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "TX",
"license": "64939",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE BOARD OF PHARMACY",
"identifier": "64939",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/A",
"affiliation": "N",
"endpointDescription": "N/A",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "N/A",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "N/A",
"address_1": "250 E Main St",
"city": "Uvalde",
"state": "TX",
"country_code": "US",
"postal_code": "788015639",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Uvalde, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.