Active NPI
Jerry Neil Stewart Jr.
- Pharmacist
- Houston, TX
National Provider Identifier
1760056303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 65514
- Practice address
- 4516 Harrisburg Blvd
Houston, TX 77011-4016 - Phone
- (713) 224-6504
- NPI assigned
- May 18, 2021
- Last updated
- May 18, 2021
- 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 | 65514 | TX | Primary |
Addresses
Primary practice location
4516 Harrisburg Blvd
Houston, TX 77011-4016
Mailing address
4516 Harrisburg Blvd
Houston, TX 77011-4016
Phone (713) 224-6504
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65514 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | 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": "1621296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1760056303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4516 HARRISBURG BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770114016",
"telephone_number": "713-224-6504",
"fax_number": "713-224-7413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4516 HARRISBURG BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770114016",
"telephone_number": "713-224-6504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "JERRY",
"middle_name": "NEIL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-18",
"last_updated": "2021-05-18",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "65514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.