Individual provider Active NPI

Juan Carlos Garcia

  • Pharmacist
  • Mt Pleasant, TX
National Provider Identifier
1376153072
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
66984 Issued in TX
Practice address
601 S Jefferson Ave
Mt Pleasant, TX 75455-4836
Phone
(903) 572-3448
NPI assigned
Aug 6, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 66984 TX Primary

Addresses

Primary practice location

601 S Jefferson Ave
Mt Pleasant, TX 75455-4836

Mailing address

5441 County Road 4180 E
Tyler, TX 75704-6022
Phone (903) 472-3211

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

State licenses

LicenseStateTypeSpecialty
66984TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jnptx LLC CurrentSince Jun 2, 2024 Accepting new patients
Jnptx LLC Current Accepting new patients
CVS Pharmacy Inc PastSince Aug 9, 2020 Accepting new patients
CVS Pharmacy Inc PastSince Aug 9, 2020 Accepting new patients

Locations

125 W Interstate 30
Ste B
Royse City, TX 75189
Phone (469) 723-5120

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1376153072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 COUNTY ROAD 4180 E",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757046022",
            "telephone_number": "903-472-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S JEFFERSON AVE",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754554836",
            "telephone_number": "903-572-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "66984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.