Active NPI
Mary Jane Pittman
- Pharmacist
- Joshua, TX
National Provider Identifier
1659930022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21663
- Practice address
- 3521 SW Wilshire Blvd
Joshua, TX 76058-6195 - Phone
- (817) 484-3267
- NPI assigned
- Jun 10, 2019
- Last updated
- Jun 10, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8903 | OK | |
| Pharmacist | 183500000X | 21663 | TX | Primary |
Addresses
Primary practice location
3521 SW Wilshire Blvd
Joshua, TX 76058-6195
Mailing address
2300 Portsmouth CT
Crowley, TX 76036-4672
Phone (817) 297-2687
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 |
|---|---|---|---|
| 8903 | OK | MD | Social Worker |
| 21663 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1659930022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 PORTSMOUTH CT",
"city": "CROWLEY",
"state": "TX",
"postal_code": "760364672",
"telephone_number": "817-297-2687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3521 SW WILSHIRE BLVD",
"city": "JOSHUA",
"state": "TX",
"postal_code": "760586195",
"telephone_number": "817-484-3267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTMAN",
"first_name": "MARY",
"middle_name": "JANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-10",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "8903",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "21663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joshua, TX
- Rominique Renee Palomino, PHLEBOTOMIST
- Kelsie Patterson, RDN, LD, CDCES
- Pecan Valley MHMR Region
- Perpetual Motion Rehabilitation PLLC
- Destiny Pinkston, FNP-C
- William Jeffrey Pool, D.O.
- Prostick Mobile Labs LLC
- Raja Saade, MD PA (Joshua Family Medical Care)
- Linda Jane Reed, CST
- Reflections Mental Health and Wellness Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.