Active NPI
Joseph Robert Ottis, PHARM.D.
- Pharmacist
- Spring Branch, TX
National Provider Identifier
1316255276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 48738
- Practice address
- 20744 State Highway 46 W
Spring Branch, TX 78070-6450 - Phone
- (830) 438-1123
- NPI assigned
- Sep 14, 2010
- 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 | 48738 | TX | Primary |
Addresses
Primary practice location
20744 State Highway 46 W
Spring Branch, TX 78070-6450
Mailing address
20744 State Highway 46 W
Spring Branch, TX 78070-6450
Phone (830) 438-1123
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 |
|---|---|---|---|
| 48738 | TX | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
20744 State Highway 46 W
Spring Branch, TX 78070
Phone (830) 438-1123
Organizations & group practices 3
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": "1284422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1316255276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20744 STATE HIGHWAY 46 W",
"city": "SPRING BRANCH",
"state": "TX",
"postal_code": "780706450",
"telephone_number": "830-438-1123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20744 STATE HIGHWAY 46 W",
"city": "SPRING BRANCH",
"state": "TX",
"postal_code": "780706450",
"telephone_number": "830-438-1123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTIS",
"first_name": "JOSEPH",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-14",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "48738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Branch, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.