Active NPI
Jonathan DO, PHARM.D
- Pharmacist
- Missouri City, TX
National Provider Identifier
1619205283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42803
- Practice address
- 6120 Highway 6
Missouri City, TX 77459-3802 - Phone
- (281) 208-5828
- Fax
- (281) 208-2700
- NPI assigned
- Nov 19, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 42803 | TX | Primary |
Addresses
Primary practice location
6120 Highway 6
Missouri City, TX 77459-3802
Mailing address
6120 Highway 6
Missouri City, TX 77459-3802
Phone (281) 208-5828
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42803 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258588800000",
"number": "1619205283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6120 HIGHWAY 6",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774593802",
"telephone_number": "281-208-5828",
"fax_number": "281-208-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6120 HIGHWAY 6",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774593802",
"telephone_number": "281-208-5828",
"fax_number": "281-208-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DO",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-19",
"last_updated": "2009-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "42803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missouri City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.