Active NPI
Jeffrey David Fain, PHARMD
- Ambulatory Care Pharmacist
- Giddings, TX
National Provider Identifier
1215533575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 30228
- Practice address
- 233 S Manse Ave
Giddings, TX 78942-3440 - Phone
- (979) 542-3164
- Fax
- (979) 542-3489
- NPI assigned
- Dec 10, 2020
- Last updated
- Dec 10, 2020
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 30228 | TX | Primary |
Addresses
Primary practice location
233 S Manse Ave
Giddings, TX 78942-3440
Mailing address
233 S Manse Ave
Giddings, TX 78942-3440
Phone (979) 540-8926
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264756 | Other | TX | LICENSE TX 30228 |
Other names 1
- Dr. JD Fain
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Pierattspharmacy.com | Health Information Exchange (HIE) | |
| CONNECT URL | Pierattspharmacy.com |
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 |
|---|---|---|---|
| 30228 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lampasas Drug Company LTD | Current | Accepting new patients | |
| Giddings Drug Company LTD | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cattles Pharmacy
- Community/Retail Pharmacy
- Lampasas, TX
- NPI 1043712706
-
dba Pieratts Pharmacy
- Community/Retail Pharmacy
- Giddings, TX
- NPI 1093829087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1215533575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 S MANSE AVE",
"city": "GIDDINGS",
"state": "TX",
"postal_code": "789423440",
"telephone_number": "979-540-8926",
"fax_number": "979-542-3489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 S MANSE AVE",
"city": "GIDDINGS",
"state": "TX",
"postal_code": "789423440",
"telephone_number": "979-542-3164",
"fax_number": "979-542-3489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIN",
"first_name": "JEFFREY",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-10",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "TX",
"license": "30228",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE TX 30228",
"identifier": "264756",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Pierattspharmacy.com",
"affiliation": "N",
"endpointDescription": "email staff@pierattspharmacy.com",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "233 S Manse Ave",
"city": "Giddings",
"state": "TX",
"country_code": "US",
"postal_code": "789423440",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Pierattspharmacy.com",
"affiliation": "N",
"address_1": "233 S Manse Ave",
"city": "Giddings",
"state": "TX",
"country_code": "US",
"postal_code": "789423440",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JD",
"last_name": "FAIN",
"prefix": "DR.",
"credential": "BS PHARM, PHARMD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Giddings, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.