Individual provider Active NPI

Enrique Ledesma Jr., PHARM.D

  • Pharmacist
  • McAllen, TX
National Provider Identifier
1124395157
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
50457 Issued in TX
Practice address
708 E Expressway 83
T-0824
McAllen, TX 78503-1609
Phone
(956) 686-4068
Fax
(956) 278-8731
NPI assigned
Nov 18, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 50457 TX Primary

Addresses

Primary practice location

708 E Expressway 83
T-0824
McAllen, TX 78503-1609

Mailing address

708 E Expressway 83
T-0824
McAllen, TX 78503-1609
Phone (956) 686-4068

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
50457TXMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1124395157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 E EXPRESSWAY 83",
            "address_2": "T-0824",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031609",
            "telephone_number": "956-686-4068",
            "fax_number": "956-278-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 E EXPRESSWAY 83",
            "address_2": "T-0824",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031609",
            "telephone_number": "956-686-4068",
            "fax_number": "956-278-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDESMA",
        "first_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-18",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "50457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.