Active NPI
Jacquelyn Nadine Juarez, PHARMD
- Pharmacist
- El Paso, TX
National Provider Identifier
1073374013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 73476
- Practice address
- 121 E Redd Rd
El Paso, TX 79932-1981 - Phone
- (915) 472-2325
- NPI assigned
- Jan 17, 2024
- Sex
- Female
- 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 | 73476 | TX | Primary |
Addresses
Primary practice location
121 E Redd Rd
El Paso, TX 79932-1981
Mailing address
3244 Manny Aguilera Dr
El Paso, TX 79936-2760
Phone (915) 472-2325
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 |
|---|---|---|---|
| 73476 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1073374013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3244 MANNY AGUILERA DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799362760",
"telephone_number": "915-472-2325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 E REDD RD",
"city": "EL PASO",
"state": "TX",
"postal_code": "799321981",
"telephone_number": "915-472-2325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUAREZ",
"first_name": "JACQUELYN",
"middle_name": "NADINE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-17",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "73476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.