Individual provider Active NPI

Jerry Dan Riggs, R.PH.

  • Pharmacist
  • New Braunfels, TX
National Provider Identifier
1760219331
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
24568 Issued in TX
Practice address
179 Silverado
New Braunfels, TX 78132-2326
Phone
(830) 660-6104
NPI assigned
Sep 18, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 24568 TX Primary

Addresses

Primary practice location

179 Silverado
New Braunfels, TX 78132-2326

Mailing address

179 Silverado
New Braunfels, TX 78132-2326
Phone (830) 660-6104

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

LicenseStateTypeSpecialty
24568TXMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1760219331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 SILVERADO",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781322326",
            "telephone_number": "830-660-6104",
            "fax_number": "830-964-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 SILVERADO",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781322326",
            "telephone_number": "830-660-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGGS",
        "first_name": "JERRY",
        "middle_name": "DAN",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "24568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.