Active NPI
Jeannie Fong, PHARM D
- Pharmacist
- Katy, TX
National Provider Identifier
1740614916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 53858
- Practice address
- 25108 Market Place Dr
Katy, TX 77494-4430 - Phone
- (281) 644-6412
- Fax
- (281) 644-6415
- NPI assigned
- Aug 24, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 53858 | TX | Primary |
Addresses
Primary practice location
25108 Market Place Dr
Katy, TX 77494-4430
Mailing address
25108 Market Place Dr
Katy, TX 77494-4430
Phone (281) 644-6412
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 |
|---|---|---|---|
| 53858 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471824000000",
"number": "1740614916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25108 MARKET PLACE DR",
"city": "KATY",
"state": "TX",
"postal_code": "774944430",
"telephone_number": "281-644-6412",
"fax_number": "281-644-6415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25108 MARKET PLACE DR",
"city": "KATY",
"state": "TX",
"postal_code": "774944430",
"telephone_number": "281-644-6412",
"fax_number": "281-644-6415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONG",
"first_name": "JEANNIE",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-24",
"last_updated": "2016-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "53858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.