Individual provider Active NPI

Jeffrey David Fain, PHARMD

  • Ambulatory Care Pharmacist
  • Giddings, TX
National Provider Identifier
1215533575
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
30228 Issued in TX
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
264756OtherTXLICENSE TX 30228

Other names 1

  • Dr. JD Fain Professional name

Electronic endpoints 2

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
30228TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lampasas Drug Company LTD Current Accepting new patients
Giddings Drug Company LTD PastSince Dec 13, 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, 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": "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.

Verify at the official NPI Registry.