Myranda Lynne Jaso

Primary specialty

PharmacistTaxonomy code 183500000X

License

70955 Issued in TX

Practice address

901 W Expressway 83
San Juan, TX 78589

Phone

(956) 783-1275

NPI assigned

Mar 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

  dba HEB Pharmacy #038

  • Community/Retail Pharmacy
  • San Juan, TX
  • NPI 1225147655
  NPD (past)
• H-E-B, LP

  dba HEB Pharmacy #195

  • Community/Retail Pharmacy
  • San Antonio, TX
  • NPI 1285743617
  NPD (past)

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1295311884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W EXPRESSWAY 83",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "78589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W EXPRESSWAY 83",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "78589",
            "telephone_number": "956-783-1275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11551 West Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782131343",
            "country_code": "US",
            "telephone_number": "210-340-7786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JASO",
        "first_name": "MYRANDA",
        "middle_name": "LYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "237819",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "70955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Independent Concepts, Inc.
• Saul Izaguirre, NP
• Izaguirrewc L L C
• Michele Marie Jackson, FNP-C
• Sally Jalili
• Leah Jasso
• Manika Jha, M.D.
• Brenda Jimenez, MS CCC SLP
• JV Dental PLLC
• Kids Dental & Orthodontics

• Pharmacist in San Juan, TX
• Providers in San Juan, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.