Individual provider Active NPI

Denise E McCaleb, PHARMACIST

  • Pharmacist
  • Montgomery, TX
National Provider Identifier
1215523618
Registry record updated Dec 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
36779 Issued in TX
Practice address
21005 Eva St
Montgomery, TX 77356-1897
Phone
(936) 597-8002
Fax
(936) 597-8230
NPI assigned
Dec 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 36779 TX Primary

Addresses

Primary practice location

21005 Eva St
Montgomery, TX 77356-1897

Mailing address

21005 Eva St
Montgomery, TX 77356-1897
Phone (936) 597-8002

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmccaleb@brookshirebros.com Direct

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

State licenses

LicenseStateTypeSpecialty
36779TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brookshire Brothers Inc PastSince Dec 27, 2020 Accepting new patients
Brookshire Brothers Inc PastSince Dec 27, 2020 Accepting new patients

Organizations & group practices 2

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": "1608336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608336000000",
    "number": "1215523618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21005 EVA ST",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773561897",
            "telephone_number": "936-597-8002",
            "fax_number": "936-597-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21005 EVA ST",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773561897",
            "telephone_number": "936-597-8002",
            "fax_number": "936-597-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALEB",
        "first_name": "DENISE",
        "middle_name": "E",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-19",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "36779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmccaleb@brookshirebros.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21005 Eva St",
            "city": "Montgomery",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773561897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.