Active NPI
Jackie Glenn Dabney Sr.
- Pharmacist
- Humble, TX
National Provider Identifier
1124331947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 036524
- Practice address
- 7440 FM 1960 Rd E
Humble, TX 77346-3129 - Phone
- (281) 852-8088
- Fax
- (281) 812-0701
- NPI assigned
- Jul 21, 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 | 036524 | TX | Primary |
Addresses
Primary practice location
7440 FM 1960 Rd E
Humble, TX 77346-3129
Mailing address
29203 Lake Commons Way
Huffman, TX 77336-4643
Phone (281) 358-7485
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 |
|---|---|---|---|
| 036524 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279670400000",
"number": "1124331947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29203 LAKE COMMONS WAY",
"city": "HUFFMAN",
"state": "TX",
"postal_code": "773364643",
"telephone_number": "281-358-7485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7440 FM 1960 RD E",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773463129",
"telephone_number": "281-852-8088",
"fax_number": "281-812-0701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DABNEY",
"first_name": "JACKIE",
"middle_name": "GLENN",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-21",
"last_updated": "2010-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "036524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.