Homero Acosta Jr., RPH.
Individual provider Active NPI Pharmacist · El Paso, TX
NPI 1336256643 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1336256643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28816 (TX)
- Practice address
- 5001 N Piedras St
El Paso, TX 79930-4210 - Phone
- (915) 564-7945
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28816 | TX | MD | Pediatric Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28816 | TX | Yes |
Addresses
Primary practice location
5001 N Piedras St
El Paso, TX 79930-4210
Mailing address
10249 Blackwood Ave
El Paso, TX 79925-4351
Phone (915) 590-2886
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.