Maria Elena De Jesus, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

118226 Issued in TX

Practice address

6601 Blanco Rd Ste 250
San Antonio, TX 78216-6105

Phone

(210) 434-2477

NPI assigned

Oct 8, 2021

Last updated

Oct 8, 2021By the provider in NPPES

Sex

Female

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MLDP of Texas LP

  dba Legends Pharmacy

  • Long Term Care Pharmacy
  • San Antonio, TX
  • NPI 1538235643
  NPD (past)

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1114689973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15555 KNOLLMEADOW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782472143",
            "telephone_number": "210-209-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 BLANCO RD STE 250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166105",
            "telephone_number": "210-434-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS",
        "first_name": "MARIA",
        "middle_name": "ELENA",
        "name_prefix": "Mrs.",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "118226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex De Jesus, MD
• Christopher De Jesus, M.D.
• Christopher De Jesus
• Joanna De Jesus
• Jonathan Thomas De Jesus, MA, LPC
• Mayralis De Jesus, MD
• Michael Almeda De Jesus, RN
• Tess V De Jesus, MSN RN AGACNP
• Crystal Michelle De la Cerda, M.D.
• Jose De la Cerda III, M.D.

• Pharmacy Technician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pharmacy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.