Individual provider Active NPI

Josephat Escobedo, R.PH.

  • Pharmacist
  • Brownsville, TX
National Provider Identifier
1659327740
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
29671 Issued in TX
Practice address
4430 E 14TH St Unit B
Brownsville, TX 78521-3364
Phone
(956) 986-0707
Fax
(956) 986-0707
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X TX
Pharmacist 183500000X 29671 TX Primary

Addresses

Primary practice location

4430 E 14TH St Unit B
Brownsville, TX 78521-3364

Mailing address

1205 Santa Ana Ave
Rancho Viejo, TX 78575-9755

Other identifiers 2

IdentifierTypeStateIssuer
016917901MedicaidTX
091592801OtherTXCCP

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
29671TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Josephat Escobedo CurrentSince Feb 11, 2024 Accepting new patients
Escobedo DME Inc. Durable Medical Equipment & Medical Supplies Current Accepting new patients

Locations

4430 E 14th St
Unit B
Brownsville, TX 78521
Phone (956) 986-0707

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1659327740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 SANTA ANA AVE",
            "city": "RANCHO VIEJO",
            "state": "TX",
            "postal_code": "785759755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 E 14TH ST UNIT B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213364",
            "telephone_number": "956-986-0707",
            "fax_number": "956-986-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBEDO",
        "first_name": "JOSEPHAT",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "29671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016917901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCP",
            "identifier": "091592801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.