Individual provider Active NPI

Misael Guerrero, RPH

  • Pharmacist
  • Burleson, TX
National Provider Identifier
1508469388
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
66084 Issued in TX
Practice address
780 NE Alsbury Blvd Ste 2
Burleson, TX 76028-2673
Phone
(682) 628-8111
Fax
(682) 206-0211
NPI assigned
Nov 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 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 66084 TX Primary

Addresses

Primary practice location

780 NE Alsbury Blvd Ste 2
Burleson, TX 76028-2673

Mailing address

780 NE Alsbury Blvd Ste 2
Burleson, TX 76028-2673
Phone (682) 628-8111

Other practice location 1

4333 W Jefferson Blvd
Dallas, TX 75211-4622
Phone (972) 936-7997

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL n/a Other CVS PHARMACY INC.

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
66084TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Pharmacy Inc. CurrentSince Nov 1, 2020 Accepting new patients
CVS Pharmacy Inc PastSince Nov 1, 2020 Accepting new patients

Locations

4333 W Jefferson Blvd
Dallas, TX 75211
Phone (972) 936-7997

Organizations & group practices 2

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": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1508469388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 NE ALSBURY BLVD STE 2",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760282673",
            "telephone_number": "682-628-8111",
            "fax_number": "682-206-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 NE ALSBURY BLVD STE 2",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760282673",
            "telephone_number": "682-628-8111",
            "fax_number": "682-206-0211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4333 W Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752114622",
            "country_code": "US",
            "telephone_number": "972-936-7997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "MISAEL",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "66084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "Y",
            "endpointDescription": "n/a",
            "affiliationName": "CVS PHARMACY INC.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "n/a",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "n/a",
            "address_1": "4333 W Jefferson Blvd",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752114622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.