Jonathan Huo
Individual provider Active NPI Pharmacist · Bellmead, TX
NPI 1245849157 · NPPES record last updated Jul 27, 2020
Key facts
- NPI
- 1245849157
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 66861 (TX)
- Practice address
- 801 N I-35
Bellmead, TX 76705 - Phone
- (254) 799-0219
- NPI assigned
- Jul 27, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66861 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 66861 | TX | Yes |
Addresses
Primary practice location
801 N I-35
Bellmead, TX 76705
Mailing address
4900 Bagby Ave Apt 515
Waco, TX 76711-0020
Other providers in Bellmead, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.