Justin Fakta

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

Practice address

29388 Interstate 10 W
Boerne, TX 78006-2789

Phone

(830) 249-0150

NPI assigned

Sep 5, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• H-E-B, LP

  • Community/Retail Pharmacy
  • Boerne, TX
  • NPI 1962276337
  NPD

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1275413635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29388 INTERSTATE 10 W",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062789",
            "telephone_number": "830-249-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29388 INTERSTATE 10 W",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062789",
            "telephone_number": "830-249-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKTA",
        "first_name": "JUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Maria Escobar-Botero, M.D.
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• Eye Country, PLLC
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• Family Changes Play Therapy, PLLC
• Kristen Hahn Fanning, SLP
• Rex Farrer Jr., DO
• Robbie Farthing, LVN
• Fast Track Urgent Care - Lemon Creek

• All providers in Boerne, TX
• Pharmacy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.