Active NPI
Joann Pelage, PHARMD
- Pharmacist
- Temple, TX
National Provider Identifier
1174875207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 52425
- Practice address
- 3550 S General Bruce Dr BLDG A100
T-2278
Temple, TX 76504-5133 - Phone
- (254) 295-1058
- NPI assigned
- Oct 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 52425 | TX | Primary |
Addresses
Primary practice location
3550 S General Bruce Dr BLDG A100
T-2278
Temple, TX 76504-5133
Mailing address
3550 S General Bruce Dr BLDG A100
T-2278
Temple, TX 76504-5133
Phone (254) 295-1058
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 |
|---|---|---|---|
| 52425 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | 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": "1350086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350086400000",
"number": "1174875207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 S GENERAL BRUCE DR BLDG A100",
"address_2": "T-2278",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765045133",
"telephone_number": "254-295-1058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 S GENERAL BRUCE DR BLDG A100",
"address_2": "T-2278",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765045133",
"telephone_number": "254-295-1058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELAGE",
"first_name": "JOANN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-13",
"last_updated": "2012-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "52425",
"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 Oct 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.