Active NPI
Joshua Michael Maldonado, PHARMD
- Pharmacist
- Temple, TX
National Provider Identifier
1174001317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 62764
- Practice address
- 1314 W Adams Ave
Temple, TX 76504-2448 - Phone
- (254) 773-4585
- NPI assigned
- Jul 31, 2018
- 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 | 62764 | TX | Primary |
Addresses
Primary practice location
1314 W Adams Ave
Temple, TX 76504-2448
Mailing address
1630 Wells Branch Pkwy Apt 715
Austin, TX 78728-7157
Phone (956) 559-5953
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
| License | State | Type | Specialty |
|---|---|---|---|
| 62764 | TX | MD | Pharmacist |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1174001317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 WELLS BRANCH PKWY APT 715",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787287157",
"telephone_number": "956-559-5953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 W ADAMS AVE",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765042448",
"telephone_number": "254-773-4585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "JOSHUA",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-31",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "62764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.