Active NPI
Timothy John Deangelis
- Pharmacist
- Midland, TX
National Provider Identifier
1295169456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 53617
- Practice address
- 4313 Andrews Hwy
Midland, TX 79703-4823 - Phone
- (774) 230-7412
- NPI assigned
- Aug 23, 2013
- 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 | 53617 | TX | Primary |
Addresses
Primary practice location
4313 Andrews Hwy
Midland, TX 79703-4823
Mailing address
3200 Bromley PL Apt D207
Midland, TX 79705-1622
Phone (774) 230-7412
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 |
|---|---|---|---|
| 53617 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377216000000",
"number": "1295169456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 BROMLEY PL APT D207",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797051622",
"telephone_number": "774-230-7412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4313 ANDREWS HWY",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797034823",
"telephone_number": "774-230-7412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEANGELIS",
"first_name": "TIMOTHY",
"middle_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-23",
"last_updated": "2013-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "53617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.