Javier Gomez
Individual provider Active NPI Pharmacist · Crosby, TX
NPI 1598080285 · NPPES record last updated Apr 6, 2010
Key facts
- NPI
- 1598080285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 44922 (TX)
- Practice address
- 14402 FM 2100 Rd
Crosby, TX 77532-6570 - Phone
- (281) 328-8097
- NPI assigned
- Apr 6, 2010
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44922 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 44922 | TX | Yes |
Addresses
Primary practice location
14402 FM 2100 Rd
Crosby, TX 77532-6570
Mailing address
14402 FM 2100 Rd
Crosby, TX 77532-6570
Phone (281) 328-8097
Other providers in Crosby, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2010. 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.