Active NPI
Jorge Piedra, PHARMD.
- Pharmacist
- Keller, TX
National Provider Identifier
1306447669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43612
- Practice address
- 1542 Treehouse LN S
Keller, TX 76262-8949 - Phone
- (817) 312-0528
- NPI assigned
- Nov 3, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 43612 | TX | Primary |
Addresses
Primary practice location
1542 Treehouse LN S
Keller, TX 76262-8949
Mailing address
1542 Treehouse LN S
Keller, TX 76262-8949
Phone (817) 312-0528
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43612 | Other | TX | PHARMACIST LICENSE NUMBER |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43612 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1306447669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1542 TREEHOUSE LN S",
"city": "KELLER",
"state": "TX",
"postal_code": "762628949",
"telephone_number": "817-312-0528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1542 TREEHOUSE LN S",
"city": "KELLER",
"state": "TX",
"postal_code": "762628949",
"telephone_number": "817-312-0528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIEDRA",
"first_name": "JORGE",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "TX",
"license": "43612",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "43612",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.