Jordan Alexandra Navalle, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

69239 Issued in TX

Practice address

14900 Jones Maltsberger Rd
San Antonio, TX 78247-3919

Phone

(210) 496-9545

NPI assigned

Apr 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• CVS Pharmacy Inc

  dba CVS Pharmacy #07460

  • Pharmacy
  • San Antonio, TX
  • NPI 1427152214
  NPD (past)
• CVS Pharmacy Inc

  dba CVS Pharmacy #17923

  • Pharmacy
  • Stafford, TX
  • NPI 1427931351
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1225619695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ASHLER DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505348",
            "telephone_number": "864-270-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14900 JONES MALTSBERGER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473919",
            "telephone_number": "210-496-9545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Ashler Dr",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296505348",
            "country_code": "US",
            "telephone_number": "864-270-5161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAVALLE",
        "first_name": "JORDAN",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-17",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "42731",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "30086",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH032571",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "69239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Nava
• Nia Nicole Nava, OD
• Roberto Nava, PHARM.D
• Ruby Clarisse Nava, M.S., CCC-SLP
• Valerie Hortencia Nava, MS, RDN, LD
• Jessica Scanlon Navariz, M.S., CCC-SLP
• Giovanna Navarrete
• Reyna Lorena Navarrete
• Christopher Lee Navarrette, RN
• Fernando Navarro Puerta

• Pharmacist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.