Active NPI
Michael Herrera
- Pharmacist
- Rhome, TX
National Provider Identifier
1063088086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67506
- Practice address
- 400 S Main St
Rhome, TX 76078-4425 - Phone
- (817) 638-5561
- NPI assigned
- Jun 1, 2021
- Last updated
- Jun 1, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 67506 | TX | Primary |
Addresses
Primary practice location
400 S Main St
Rhome, TX 76078-4425
Mailing address
7420 Fuller Cir
Fort Worth, TX 76133-6904
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67506 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622505600000",
"number": "1063088086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7420 FULLER CIR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761336904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S MAIN ST",
"city": "RHOME",
"state": "TX",
"postal_code": "760784425",
"telephone_number": "817-638-5561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-01",
"last_updated": "2021-06-01",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "67506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rhome, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.