NPIMap

Organization Active NPI

University of Texas Medical Branch at Galveston

Doing business as University of Texas Medical Branch

  • Community/Retail Pharmacy
  • Galveston, TX
National Provider Identifier
1306802384
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Doing business as
University of Texas Medical Branch
Practice address
301 University Blvd
WSP Ste 2.103
Galveston, TX 77555-0705
Phone
(409) 772-6147
NPI assigned
Apr 26, 2006
Last updated
Aug 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Dr. Jochen Reiser, MD
Title
President
Phone
(409) 772-1909

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

301 University Blvd
WSP Ste 2.103
Galveston, TX 77555-0705

Mailing address

301 University Blvd
RT 0115
Galveston, TX 77555-0115
Phone (409) 747-8783

Other practice location 1

301 University Blvd
CSW 7th Floor
Galveston, TX 77555-0401
Phone (409) 772-1175

Other identifiers 1

IdentifierTypeStateIssuer
161988401MedicaidTX

Other names 1

  • University of Texas Medical Branch Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930024280 TX DME Supplier - Pharmacy 3779493580 1 other NPI on this enrollment
Practice locations: Galveston, TX
O20220916000890 TX Part B Supplier - Pharmacy 3779493580 4 other NPIs on this enrollment
Practice locations: Galveston, TX; Webster, TX; League City, TX; Friendswood, TX

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
University of Texas Medical Branch301 University Blvd, WSP Ste 2.103, Galveston, TX 77555-0705(409) 772-6147 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Feb 19, 2019

National Provider Directory

National Provider Directory
Tax ID family
University of Texas Medical Branch at Galveston19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1306802384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "address_2": "RT 0115",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550115",
            "telephone_number": "409-747-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "address_2": "WSP STE 2.103",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550705",
            "telephone_number": "409-772-6147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 University Blvd",
            "address_2": "CSW 7th Floor",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775550401",
            "country_code": "US",
            "telephone_number": "409-772-1175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "REISER",
        "authorized_official_first_name": "JOCHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-772-1909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161988401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Texas Medical Branch",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University of Texas Medical Branch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.