Active NPI
Emilio Fernando Perez Jr.
- Pharmacist
- College Station, TX
National Provider Identifier
1477334522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 73085
- Practice address
- 2411 Texas Ave S
College Station, TX 77840-4633 - Phone
- (979) 693-8085
- NPI assigned
- Oct 12, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 73085 | TX | Primary |
Addresses
Primary practice location
2411 Texas Ave S
College Station, TX 77840-4633
Mailing address
2200 Cottage LN Apt Q307
College Station, TX 77845-7460
Phone (956) 740-2535
Other practice location 1
717 University Dr Ste 101
College Station, TX 77840-1580
Phone (979) 721-9125
Other practice location 2
1800 Rock Prairie Rd
College Station, TX 77845-5949
Phone (979) 696-1075
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
| License | State | Type | Specialty |
|---|---|---|---|
| 73085 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
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": "1697068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1477334522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 COTTAGE LN APT Q307",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778457460",
"telephone_number": "956-740-2535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 TEXAS AVE S",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778404633",
"telephone_number": "979-693-8085"
}
],
"practiceLocations": [
{
"address_1": "717 University Dr Ste 101",
"address_purpose": "LOCATION",
"city": "College Station",
"state": "TX",
"postal_code": "778401580",
"country_code": "US",
"telephone_number": "979-721-9125",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 Rock Prairie Rd",
"address_purpose": "LOCATION",
"city": "College Station",
"state": "TX",
"postal_code": "778455949",
"country_code": "US",
"telephone_number": "979-696-1075",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "EMILIO",
"middle_name": "FERNANDO",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-12",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "73085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.