Active NPI
Justin Lee Spence, PHARMD
- Pharmacist
- Ennis, TX
National Provider Identifier
1336791383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60953
- Practice address
- 718 W Lampasas St
Ennis, TX 75119-4534 - Phone
- (972) 875-6798
- Fax
- (972) 875-2514
- NPI assigned
- Jul 10, 2019
- Last updated
- Jul 10, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | 60953 | TX | Primary |
Addresses
Primary practice location
718 W Lampasas St
Ennis, TX 75119-4534
Mailing address
1411 Sundale St
Ennis, TX 75119-2235
Phone (972) 921-8484
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 |
|---|---|---|---|
| 60953 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Drug Inc | Past | Accepting new patients | |
| Hometown Drug Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Ennis, TX
- NPI 1295173441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1336791383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 SUNDALE ST",
"city": "ENNIS",
"state": "TX",
"postal_code": "751192235",
"telephone_number": "972-921-8484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 W LAMPASAS ST",
"city": "ENNIS",
"state": "TX",
"postal_code": "751194534",
"telephone_number": "972-875-6798",
"fax_number": "972-875-2514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCE",
"first_name": "JUSTIN",
"middle_name": "LEE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-10",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "60953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ennis, TX
- Sleep Centers of Texas (Greater Dallas Lung and Sleep Clinic)
- Sleep Specialties, LLC (Sleep Specialties)
- Meryle Dorothy Smith, CRNA
- Ingrid G Solis, PA-C
- Southwestern Digestive Health Physicians, PA
- Stephen C. Durbin, DDS, PC
- Claudia Lee Stephens, LCSW; PSC;
- Paige Erin Stipe, PTA
- John M Sullivan, MD
- Margaret Mary Sullivan, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.