Rex D. Mask, R. PH.
Individual provider Active NPI Pharmacist · Pilot Point, TX
NPI 1124669726 · NPPES record last updated Oct 4, 2019
Key facts
- NPI
- 1124669726
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 17954 (TX)
- Practice address
- 1340 N Highway 377 Ste 100
Pilot Point, TX 76258-3762 - Phone
- (940) 686-0123
- Fax
- (940) 686-0170
- NPI assigned
- Oct 4, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17954 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17954 | TX | Yes |
Addresses
Primary practice location
1340 N Highway 377 Ste 100
Pilot Point, TX 76258-3762
Mailing address
1340 N Highway 377 Ste 100
Pilot Point, TX 76258-3762
Phone (940) 686-0123
Other providers in Pilot Point, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.