Active NPI
Denisse Gomez
- Pharmacist
- Fort Worth, TX
National Provider Identifier
1598092447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 48085
- Practice address
- 2400 Jacksboro Hwy
Fort Worth, TX 76114-2201 - Phone
- (817) 427-9353
- NPI assigned
- Nov 13, 2009
- Last updated
- Nov 13, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 48085 | TX | Primary |
Addresses
Primary practice location
2400 Jacksboro Hwy
Fort Worth, TX 76114-2201
Mailing address
4268 Iris Ave
Fort Worth, TX 76137-1251
Phone (817) 919-3919
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48085 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258070400000",
"number": "1598092447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4268 IRIS AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761371251",
"telephone_number": "817-919-3919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 JACKSBORO HWY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761142201",
"telephone_number": "817-427-9353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ",
"first_name": "DENISSE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-13",
"last_updated": "2009-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "48085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.