John Belew
Individual provider Active NPI Pharmacist · Roanoke, TX
NPI 1437759263 · NPPES record last updated Oct 30, 2020
Key facts
- NPI
- 1437759263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 65815 (TX)
- Practice address
- 1228 N Highway 377
Roanoke, TX 76262-9122 - Phone
- (682) 831-1957
- NPI assigned
- Oct 30, 2020
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65815 | TX | MD | Professional Counselor |
| 33003 | TN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 33003 | TN | |
| Pharmacist | 183500000X | 65815 | TX | Yes |
Addresses
Primary practice location
1228 N Highway 377
Roanoke, TX 76262-9122
Mailing address
12709 Oakvale TRL
Fort Worth, TX 76244-1879
Other providers in Roanoke, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 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.