Active NPI
Javeed Bora
- Pharmacist
- Lake Jackson, TX
National Provider Identifier
1275019168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 59439
- Practice address
- 121 Highway 332 W
Lake Jackson, TX 77566-4028 - Phone
- (979) 297-8578
- NPI assigned
- Jul 14, 2018
- Last updated
- Jul 14, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 59439 | TX | Primary |
Addresses
Primary practice location
121 Highway 332 W
Lake Jackson, TX 77566-4028
Mailing address
2750 Holly Hall St Apt 305
Houston, TX 77054-4147
Phone (832) 860-8618
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | NA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 59439 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531526400000",
"number": "1275019168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 HOLLY HALL ST APT 305",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770544147",
"telephone_number": "832-860-8618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 HIGHWAY 332 W",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775664028",
"telephone_number": "979-297-8578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORA",
"first_name": "JAVEED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-14",
"last_updated": "2018-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "59439",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Jackson, TX
- Angela Nicole Blanks, RN, FNP-C
- Julie Danette Bogaards, MS,CCC-SLP
- Blinn Stewart Bolcar-Lunsford, RN, MSN, FNP-C
- Melodie Bond, MA, LPC
- Sarah Alene Bookout
- Bottenfield Pediatric Associates, PLLC
- Gerald W Bottenfield, M.D.
- Paul Frederick Boven, DDS
- Lucretia Sheree' Boyd, FNP
- Staci Schneider Braden, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.