Active NPI
Tony Jang
- Pharmacist
- Carrollton, TX
National Provider Identifier
1114231057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 33040
- Practice address
- 4112 N Josey LN
Carrollton, TX 75007-1509 - Phone
- (972) 394-3980
- Fax
- (972) 395-1825
- NPI assigned
- Aug 3, 2010
- 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 | 33040 | TX | Primary |
Addresses
Primary practice location
4112 N Josey LN
Carrollton, TX 75007-1509
Mailing address
3663 Briarpark Dr
Houston, TX 77042-5205
Phone (713) 268-3630
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 |
|---|---|---|---|
| 33040 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randalls Food & Drugs LP | Past | Accepting new patients | |
| Randalls Food & Drugs LP | Past | 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.
-
- Community/Retail Pharmacy
- Carrollton, TX
- NPI 1063441038
-
- Community/Retail Pharmacy
- Sanger, TX
- NPI 1730052747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280793600000",
"number": "1114231057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3663 BRIARPARK DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770425205",
"telephone_number": "713-268-3630",
"fax_number": "623-869-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4112 N JOSEY LN",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750071509",
"telephone_number": "972-394-3980",
"fax_number": "972-395-1825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANG",
"first_name": "TONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-03",
"last_updated": "2010-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "33040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.