Jini Susan John, PHARM D
Individual provider Active NPI Pharmacist · Krum, TX
NPI 1144867979 · NPPES record last updated Nov 27, 2019
Key facts
- NPI
- 1144867979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 59344 (TX)
- Practice address
- 820 E McCart St
Krum, TX 76249-5634 - Phone
- (940) 482-1972
- NPI assigned
- Nov 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59344 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 59344 | TX | Yes |
Addresses
Primary practice location
820 E McCart St
Krum, TX 76249-5634
Mailing address
303 W Bend Dr
League City, TX 77573-3473
Phone (832) 455-2106
Other providers in Krum, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 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.