Active NPI
Jordan Jonathan Maswoswe, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Spring, TX
National Provider Identifier
1265605141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 26589
- Practice address
- 16736 Champion Forest Dr
Spring, TX 77379-7024 - Phone
- (832) 761-7817
- Fax
- (832) 761-7821
- NPI assigned
- Apr 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 26589 | TX | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 18577 | MA | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | TX |
Addresses
Primary practice location
16736 Champion Forest Dr
Spring, TX 77379-7024
Mailing address
PO Box 11556
Spring, TX 77391-1556
Phone (832) 761-7817
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156759601 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18577 | MA | MD | Physical Therapist |
Organizations & group practices 1
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.
-
dba Maswoswe's Alternative Pharmacy Services - MAPS Rx
- Community/Retail Pharmacy
- Houston, TX
- NPI 1235501560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425600000000",
"number": "1265605141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11556",
"city": "SPRING",
"state": "TX",
"postal_code": "773911556",
"telephone_number": "832-761-7817",
"fax_number": "832-761-7821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16736 CHAMPION FOREST DR",
"city": "SPRING",
"state": "TX",
"postal_code": "773797024",
"telephone_number": "832-761-7817",
"fax_number": "832-761-7821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASWOSWE",
"first_name": "JORDAN",
"middle_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-10",
"last_updated": "2015-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "TX",
"license": "26589",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MA",
"license": "18577",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156759601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.