Jessica Alexander
Individual provider Active NPI Pharmacist · Canyon, TX
NPI 1336749134 · NPPES record last updated Oct 29, 2020
Key facts
- NPI
- 1336749134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 40951 (TX)
- Practice address
- 1701 N 23Rd St
Canyon, TX 79015-7962 - Phone
- (806) 655-2581
- NPI assigned
- Oct 29, 2020
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40951 | TX | MD | Speech-Language Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 40951 | TX | Yes |
Addresses
Primary practice location
1701 N 23Rd St
Canyon, TX 79015-7962
Mailing address
1701 N 23Rd St
Canyon, TX 79015-7962
Other providers in Canyon, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2020. 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.