Jimmy Harelik, PHARMD
Individual provider Active NPI Pharmacist · Cisco, TX
NPI 1497101687 · NPPES record last updated May 6, 2016
Key facts
- NPI
- 1497101687
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 20282 (TX)
- Practice address
- 11355 Highway 3265
Cisco, TX 76437-7811 - Phone
- (254) 725-7597
- NPI assigned
- May 6, 2016
- 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20282 | TX | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20282 | TX | Yes |
Addresses
Primary practice location
11355 Highway 3265
Cisco, TX 76437-7811
Mailing address
11355 Highway 3265
Cisco, TX 76437-7811
Phone (254) 725-7597
Other providers in Cisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2016. 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.