Active NPI
Ruben Rocha III
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Bryan, TX
National Provider Identifier
1770160665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 68152
- Practice address
- 2200 Briarcrest Dr
Bryan, TX 77802-5000 - Phone
- (979) 776-6441
- NPI assigned
- Mar 26, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 68152 | TX | Primary |
Addresses
Primary practice location
2200 Briarcrest Dr
Bryan, TX 77802-5000
Mailing address
8175 Atlas Pear Dr
2202
College Station, TX 77845
Phone (956) 537-3317
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 |
|---|---|---|---|
| 68152 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1770160665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8175 ATLAS PEAR DR",
"address_2": "2202",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "77845",
"telephone_number": "956-537-3317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 BRIARCREST DR",
"city": "BRYAN",
"state": "TX",
"postal_code": "778025000",
"telephone_number": "979-776-6441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHA",
"first_name": "RUBEN",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-26",
"last_updated": "2021-03-26",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "TX",
"license": "68152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.