Maria Theresa De Jesus-Roetlin, CLINICAL PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

73902 Issued in TX

Practice address

2345 Evening Song Dr
Little Elm, TX 75068-7644

Phone

(319) 330-3154

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pharmacy on 8TH LLC

  • Community/Retail Pharmacy
  • Wellman, IA
  • NPI 1467715821
  NPD Authorized official
• Remedy Drug Inc

  • Community/Retail Pharmacy
  • Wellman, IA
  • NPI 1558541813
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1508943606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 EVENING SONG DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750687644",
            "telephone_number": "319-330-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 EVENING SONG DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750687644",
            "telephone_number": "319-330-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS-ROETLIN",
        "first_name": "MARIA THERESA",
        "credential": "CLINICAL PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "73902",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "20452",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL ID ASSOC. MEDICAI",
            "identifier": "420985270",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015131",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Said Dabliz, RPH
• Dallas Dental Associates - Woodlake PLLC
• Tamara E Danly, RBT
• Amanda Leah Davis
• Kelsey Davis, PT, DPT
• Addam Debebe, DMD
• Dental Cactus PLLC
• Heather Theresa Denton, DPT
• Divine Grace Care Home LLC
• Divine Wellness Home Health LLC.

• Pharmacist in Little Elm, TX
• Providers in Little Elm, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.