Active NPI
Demetrius Deese, PHARMD
- Pharmacist
- San Benito, TX
National Provider Identifier
1306449020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45862
- Practice address
- 311 N Sam Houston Blvd
San Benito, TX 78586-4656 - Phone
- (956) 399-2453
- NPI assigned
- Nov 17, 2020
- Last updated
- Aug 15, 2022
- 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 | 45862 | TX | Primary |
Addresses
Primary practice location
311 N Sam Houston Blvd
San Benito, TX 78586-4656
Mailing address
4531 Padre Island Hwy
Brownsville, TX 78521-4209
Phone (956) 542-1733
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 |
|---|---|---|---|
| 45862 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1306449020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4531 PADRE ISLAND HWY",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785214209",
"telephone_number": "956-542-1733",
"fax_number": "956-542-8154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 N SAM HOUSTON BLVD",
"city": "SAN BENITO",
"state": "TX",
"postal_code": "785864656",
"telephone_number": "956-399-2453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEESE",
"first_name": "DEMETRIUS",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-17",
"last_updated": "2022-08-15",
"certification_date": "2022-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "45862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Benito, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.