Luis Mendoza, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

61160 Issued in TX

Practice address

605 Northwest Pkwy Ste 150
Azle, TX 76020-2943

Phone

(817) 406-4546

NPI assigned

Jan 11, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Az Health Systems LLC

  • Community/Retail Pharmacy
  • Azle, TX
  • NPI 1851902357
  NPD (past)
• BLDL Industries

  • Community/Retail Pharmacy
  • Azle, TX
  • NPI 1811336738
  NPD (past)

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1760990832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 NORTHWEST PKWY STE 150",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760202943",
            "telephone_number": "817-406-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 NORTHWEST PKWY STE 150",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760202943",
            "telephone_number": "817-406-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "61160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph S McCreary, DDS
• Michael K McFarland, DO
• Shirley McMillin, NP
• Janna Rose McWhirter, M.S., CCC-SLP
• Mealtime Partners, Inc.
• Reagan Elizabeth Merriman
• Jessica Marie Metcalf, COTA
• MHS of Texas II, Inc.
• Michael D Conte Odpc
• Lauren Miller, PA

• Pharmacist in Azle, TX
• Providers in Azle, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.