Niko Ryan Caballes, PHARMD
Individual provider Active NPI Pharmacist · Hondo, TX
NPI 1568050706 · NPPES record last updated Jan 4, 2021
Key facts
- NPI
- 1568050706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 65221 (TX)
- Practice address
- 1703 19TH St
Hondo, TX 78861-2301 - Phone
- (830) 426-5000
- NPI assigned
- Jan 4, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 65221 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reesa Business LLC | Current |
Accepting new patients | |
| Lifechek Montgomery LLC | Past |
Accepting new patients |
Locations
1703 19th St
Hondo, TX 78861
Phone (830) 426-2334
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 65221 | TX | Yes |
Addresses
Primary practice location
1703 19TH St
Hondo, TX 78861-2301
Mailing address
1703 19TH St
Hondo, TX 78861-2301
Phone (830) 426-5000
Other providers in Hondo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2021. 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.