Active NPI
Daniel Negusse
- Pharmacist
- Beaumont, TX
National Provider Identifier
1295132561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 54038
- Practice address
- 3885 N Dowlen Road
Beaumont, TX 77706-6604 - Phone
- (409) 924-7570
- NPI assigned
- Dec 2, 2014
- Last updated
- Dec 2, 2014
- 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 | 54038 | TX | Primary |
Addresses
Primary practice location
3885 N Dowlen Road
Beaumont, TX 77706-6604
Mailing address
4375 N Major Dr
Apt 1121
Beaumont, TX 77713-8816
Phone (857) 753-6446
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 |
|---|---|---|---|
| 54038 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417478400000",
"number": "1295132561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4375 N MAJOR DR",
"address_2": "APT 1121",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777138816",
"telephone_number": "857-753-6446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3885 N DOWLEN ROAD",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777066604",
"telephone_number": "409-924-7570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEGUSSE",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-02",
"last_updated": "2014-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "54038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.