Individual provider Active NPI

Jacqueline Lee Fein

  • Pharmacist
  • Katy, TX
National Provider Identifier
1487369070
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
22936 Issued in TX
Practice address
1259 FM 1463 Ste. 700
Katy, TX 77494
Phone
(281) 985-1418
Fax
(281) 985-1416
NPI assigned
Jan 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 22936 TX Primary

Addresses

Primary practice location

1259 FM 1463 Ste. 700
Katy, TX 77494

Mailing address

1259 FM 1463 Ste. 700
Katy, TX 77494
Phone (281) 985-1418

Other names 1

  • Jacqueline Lee Shartsis Other name

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
22936TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1487369070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 FM 1463 STE. 700",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "281-985-1418",
            "fax_number": "281-985-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 FM 1463 STE. 700",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "281-985-1418",
            "fax_number": "281-985-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIN",
        "first_name": "JACQUELINE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "22936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "SHARTSIS",
            "middle_name": "LEE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.

Verify at the official NPI Registry.