Active NPI
Ricardo Medina Jr., PHARM. D
- Pharmacist
- San Juan, TX
National Provider Identifier
1669745584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 49486
- Practice address
- 101 W FM 495
San Juan, TX 78589-3722 - Phone
- (956) 787-1830
- Fax
- (956) 787-1696
- NPI assigned
- Feb 23, 2012
- Last updated
- Feb 23, 2012
- 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 | 49486 | TX | Primary |
Addresses
Primary practice location
101 W FM 495
San Juan, TX 78589-3722
Mailing address
101 W FM 495
San Juan, TX 78589
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 |
|---|---|---|---|
| 49486 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329955200000",
"number": "1669745584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W FM 495",
"city": "SAN JUAN",
"state": "TX",
"postal_code": "78589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W FM 495",
"city": "SAN JUAN",
"state": "TX",
"postal_code": "785893722",
"telephone_number": "956-787-1830",
"fax_number": "956-787-1696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "RICARDO",
"name_suffix": "Jr.",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-23",
"last_updated": "2012-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "49486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, TX
- Nelson A Mata, MD
- MCMJ Medical Management Services Inc (Medical Management Services)
- Amanda Carter McVean, SLP
- Med-Tro Equipment and Medical Supplies, LLC
- Carlos Arnaldo Medina, MD
- Mejor Vida Adult Day Care, LLC
- Melissa Rivera DDS PA
- Jose Luis Mendez Jr., CONTRACTOR
- Rigo Lee Mendoza
- Mercy Rehab Services, Inc. (Mercy Kids Rehab)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.