Active NPI
Hephzibah Beulah Forsac
- Pharmacist
- Pharr, TX
National Provider Identifier
1629663976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60211
- Practice address
- 3914 N Jackson Rd
Pharr, TX 78577-7768 - Phone
- (956) 305-2798
- Fax
- (956) 305-2887
- NPI assigned
- Mar 8, 2021
- Sex
- Male
- 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 | 60211 | TX | Primary |
Addresses
Primary practice location
3914 N Jackson Rd
Pharr, TX 78577-7768
Mailing address
3101 Cuarzo St
Edinburg, TX 78539-6678
Phone (713) 518-5532
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 |
|---|---|---|---|
| 60211 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hemmanuel Pharmacy | Current | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
Locations
3914 N Jackson Rd
Pharr, TX 78577
Phone (956) 305-2798
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Pharr, TX
- NPI 1366014300
-
- Pharmacy
- Stafford, TX
- NPI 1427931351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1629663976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 CUARZO ST",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785396678",
"telephone_number": "713-518-5532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3914 N JACKSON RD",
"city": "PHARR",
"state": "TX",
"postal_code": "785777768",
"telephone_number": "956-305-2798",
"fax_number": "956-305-2887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORSAC",
"first_name": "HEPHZIBAH",
"middle_name": "BEULAH",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-08",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "60211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pharr, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.