Active NPI
Garry Gene Stebbins, RPH
- Pharmacist
- Port Isabel, TX
National Provider Identifier
1750692661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 47058
- Practice address
- 1673 Highway 100
Port Isabel, TX 78578-2806 - Phone
- (956) 943-3754
- NPI assigned
- Jun 24, 2010
- Last updated
- Jun 24, 2010
- 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 | 47058 | TX | Primary |
Addresses
Primary practice location
1673 Highway 100
Port Isabel, TX 78578-2806
Mailing address
33840 S Garcia St Unit 356
Port Isabel, TX 78578-4331
Phone (574) 286-2487
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47058 | 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": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277337600000",
"number": "1750692661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33840 S GARCIA ST UNIT 356",
"city": "PORT ISABEL",
"state": "TX",
"postal_code": "785784331",
"telephone_number": "574-286-2487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1673 HIGHWAY 100",
"city": "PORT ISABEL",
"state": "TX",
"postal_code": "785782806",
"telephone_number": "956-943-3754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEBBINS",
"first_name": "GARRY",
"middle_name": "GENE",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-24",
"last_updated": "2010-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "47058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Isabel, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.