Individual provider Active NPI

Isaac Isak, PHARMACIST

  • Pharmacist
  • Seguin, TX
National Provider Identifier
1235729732
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
25410 Issued in TX
Practice address
254 S Highway 123 Byp
Seguin, TX 78155-5155
Phone
(830) 387-4914
NPI assigned
Jan 19, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 25410 TX Primary

Addresses

Primary practice location

254 S Highway 123 Byp
Seguin, TX 78155-5155

Mailing address

254 S Highway 123 Byp
Seguin, TX 78155-5155

Other practice location 1

18 Gruene Park Dr
New Braunfels, TX 78130-2460
Phone (830) 387-4914

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
25410TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1235729732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 S HIGHWAY 123 BYP",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 S HIGHWAY 123 BYP",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555155",
            "telephone_number": "830-387-4914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Gruene Park Dr",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781302460",
            "country_code": "US",
            "telephone_number": "830-387-4914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISAK",
        "first_name": "ISAAC",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "25410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

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