Active NPI
Jesus Lara Jr., RPH
- Pharmacist
- McAllen, TX
National Provider Identifier
1164078697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 65373
- Practice address
- 200 W Expressway 83
McAllen, TX 78501-2951 - Phone
- (956) 630-2911
- Fax
- (956) 686-2713
- NPI assigned
- Aug 12, 2019
- 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 | 65373 | TX | Primary |
Addresses
Primary practice location
200 W Expressway 83
McAllen, TX 78501-2951
Mailing address
200 W Expressway 83
McAllen, TX 78501-2951
Phone (956) 630-2911
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65373 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1164078697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W EXPRESSWAY 83",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785012951",
"telephone_number": "956-630-2911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W EXPRESSWAY 83",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785012951",
"telephone_number": "956-630-2911",
"fax_number": "956-686-2713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARA",
"first_name": "JESUS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-12",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "65373",
"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 Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.