Individual provider Active NPI

Hermes Jose Ortiz, PHARM D., R.PH

  • Pharmacist
  • Tyler, TX
National Provider Identifier
1619203353
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
47684 Issued in TX
Practice address
4922 S Broadway Ave
Tyler, TX 75703-1324
Phone
(903) 561-6262
Fax
(903) 534-0941
NPI assigned
Oct 31, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 47684 TX Primary

Addresses

Primary practice location

4922 S Broadway Ave
Tyler, TX 75703-1324

Mailing address

4922 S Broadway Ave
Tyler, TX 75703-1324
Phone (903) 561-6262

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
Doctor of Pharmacy, Registered Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Pharmacy Inc PastSince Jun 3, 2025 Accepting new patients
Walgreen Co PastSince Aug 1, 2020 Accepting new patients
CVS Pharmacy Inc PastSince Jun 3, 2025 Accepting new patients
Walgreen Co PastSince Aug 1, 2020 Accepting new patients

Organizations & group practices 4

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": "1256947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1619203353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4922 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031324",
            "telephone_number": "903-561-6262",
            "fax_number": "903-534-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4922 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031324",
            "telephone_number": "903-561-6262",
            "fax_number": "903-534-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "HERMES",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "PHARM D., R.PH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-31",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "47684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.