Individual provider Active NPI

Reasol Agustin Chino, PHARMD

  • Pharmacist
  • Ysleta del Sur Pueblo, TX
National Provider Identifier
1235351701
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
71008 Issued in TX
Practice address
9314 Juanchido LN
Ysleta del Sur Pueblo, TX 79907-6832
Phone
(301) 717-1060
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S018115 AZ
Pharmacist 183500000X 17799 MD
Pharmacist 183500000X 71008 TX Primary

Addresses

Primary practice location

9314 Juanchido LN
Ysleta del Sur Pueblo, TX 79907-6832

Mailing address

9473 Socorro Rd
El Paso, TX 79907-6877
Phone (915) 858-1076

Other names 1

  • Dr. Reasol Santiago Agustin Other name

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
71008TXMDMental Health Counselor
S018115AZMDPharmacist
17799MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1235351701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9473 SOCORRO RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799076877",
            "telephone_number": "915-858-1076",
            "fax_number": "915-858-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9314 JUANCHIDO LN",
            "city": "YSLETA DEL SUR PUEBLO",
            "state": "TX",
            "postal_code": "799076832",
            "telephone_number": "301-717-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINO",
        "first_name": "REASOL",
        "middle_name": "AGUSTIN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S018115",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "17799",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "71008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REASOL",
            "last_name": "AGUSTIN",
            "middle_name": "SANTIAGO",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ysleta del Sur Pueblo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.