Judith Kide Jurugo, PHARMD
Individual provider Active NPI Pharmacist · Hereford, TX
NPI 1720795255 · NPPES record last updated Nov 3, 2022
Key facts
- NPI
- 1720795255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 70859 (TX)
- Practice address
- 101 W Park Ave
Hereford, TX 79045-4201 - Phone
- (806) 364-2300
- Fax
- (806) 364-4268
- NPI assigned
- Nov 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70859 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past |
Accepting new patients | |
| CVS Pharmacy Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 70859 | TX | Yes |
Addresses
Primary practice location
101 W Park Ave
Hereford, TX 79045-4201
Mailing address
101 W Park Ave
Hereford, TX 79045-4201
Phone (806) 364-2300
Other providers in Hereford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.