Individual provider Active NPI

Juanita Leticia Quezada-Rosas, RPH

  • Pharmacist
  • Brownsville, TX
National Provider Identifier
1073829099
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
29085 Issued in TX
Practice address
2155 Paredes
Brownsville, TX 78526
Phone
(956) 574-9710
Fax
(956) 574-9715
NPI assigned
Aug 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 29085 TX Primary

Addresses

Primary practice location

2155 Paredes
Brownsville, TX 78526

Mailing address

2155 Pardes LN Rd
Brownsville, TX 78521-1609
Phone (956) 574-9710

Other identifiers 1

IdentifierTypeStateIssuer
1770692196MedicaidTX

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
29085TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1073829099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 PARDES LN RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785211609",
            "telephone_number": "956-574-9710",
            "fax_number": "956-574-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 PAREDES",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78526",
            "telephone_number": "956-574-9710",
            "fax_number": "956-574-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEZADA-ROSAS",
        "first_name": "JUANITA",
        "middle_name": "LETICIA",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "29085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770692196",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.