NPIMap

Individual provider Active NPI

Jeffrey Garces Ibarguen, PHARMD

  • Pharmacist
  • Houston, TX
National Provider Identifier
1104430743
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
62991 Issued in TX
Practice address
6322 Telephone Rd
Houston, TX 77087-5410
Phone
(713) 644-1815
Fax
(713) 644-9698
NPI assigned
Sep 1, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 62991 TX Primary

Addresses

Primary practice location

6322 Telephone Rd
Houston, TX 77087-5410

Mailing address

6322 Telephone Rd
Houston, TX 77087-5410
Phone (713) 644-1815

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

LicenseStateTypeSpecialty
62991TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kroger Texas LP PastSince Sep 6, 2020 Accepting new patients
Kroger Texas L P PastSince Sep 6, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1104430743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6322 TELEPHONE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770875410",
            "telephone_number": "713-644-1815",
            "fax_number": "713-644-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6322 TELEPHONE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770875410",
            "telephone_number": "713-644-1815",
            "fax_number": "713-644-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARGUEN",
        "first_name": "JEFFREY",
        "middle_name": "GARCES",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "62991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.