Judy Fortune

Primary specialty

PharmacistTaxonomy code 183500000X

License

17892 Issued in TX

Practice address

1015 Hillcrest Dr
Vernon, TX 76384-3100

Phone

(940) 552-9501

NPI assigned

Mar 4, 2020

Last updated

Mar 4, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1144855727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 MARTINDALE DR",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763846408",
            "telephone_number": "940-839-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 HILLCREST DR",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763843100",
            "telephone_number": "940-552-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNE",
        "first_name": "JUDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "17892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin S. Draughon, M.D.
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• Peter G. Fadow, M.D.
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• Amelia Rose Fisher, M.ED., LPC
• Fred C. Fox, L.P.C.
• Stephanie Garcia, LVN
• Brysan Andrew Garrard, PHARMD
• General Anesthesia Services PA
• Shelley Lynn Gillis, P.T.

• Pharmacist in Vernon, TX
• Providers in Vernon, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.