Juan Alejandro Ibarra, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

61914 Issued in TX

Practice address

921 Henderson St
Fort Worth, TX 76102-3535

Phone

(817) 885-8563

NPI assigned

Nov 19, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Fort Worth, TX
  • NPI 1669487641
  NPD (past)

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

{
    "created_epoch": "1511049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511049600000",
    "number": "1083128656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 HENDERSON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761023535",
            "telephone_number": "817-885-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 HENDERSON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761023535",
            "telephone_number": "817-885-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "JUAN",
        "middle_name": "ALEJANDRO",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-19",
        "last_updated": "2017-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "61914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• I & N Optical, Inc
• I & N Optical, Inc.
• I Catrena Boswell, PLLC
• I-Care at Homes, LLC
• Helena Iannaccone, RN, ANP
• Julio Jose Ibarra
• Stella Saenz Ibarra, LMT
• Yvette Ibarra, BS IONM
• Iberia Medical Clinic, P.a.
• Abigail Ibitoye, LPCA

• Pharmacist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2017; 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.