Individual provider Active NPI

Jennifer Dargis, PHARMD

  • Pharmacist
  • Crystal City, TX
National Provider Identifier
1659994663
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
56777 Issued in TX
Practice address
224 E Zavala St
Crystal City, TX 78839-3512
Phone
(830) 374-3436
NPI assigned
May 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 56777 TX Primary

Addresses

Primary practice location

224 E Zavala St
Crystal City, TX 78839-3512

Mailing address

3813 Grantsville Dr
Fort Worth, TX 76244-5760

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address crystalcity@pharmhousedrug.com

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

LicenseStateTypeSpecialty
56777TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Drug LP PastSince May 31, 2020 Accepting new patients
Pharm House Crystal City, LLC PastSince May 31, 2020 Accepting new patients

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": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1659994663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3813 GRANTSVILLE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E ZAVALA ST",
            "city": "CRYSTAL CITY",
            "state": "TX",
            "postal_code": "788393512",
            "telephone_number": "830-374-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARGIS",
        "first_name": "JENNIFER",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "56777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crystalcity@pharmhousedrug.com",
            "affiliation": "N",
            "address_1": "224 E Zavala St",
            "city": "Crystal City",
            "state": "TX",
            "country_code": "US",
            "postal_code": "788393512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crystal City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.