Active NPI
Jason Holub, PHARMD
- Pharmacist
- Lufkin, TX
National Provider Identifier
1770197055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 50360
- Practice address
- 1201 Ellen Trout Dr
Lufkin, TX 75904-1233 - Phone
- (936) 634-8155
- Fax
- (936) 633-4678
- NPI assigned
- Sep 3, 2020
- 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 | 50360 | TX | Primary |
Addresses
Primary practice location
1201 Ellen Trout Dr
Lufkin, TX 75904-1233
Mailing address
5200 High Meadow TRL
College Station, TX 77845-5507
Phone (903) 388-8334
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50360 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1770197055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 HIGH MEADOW TRL",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778455507",
"telephone_number": "903-388-8334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 ELLEN TROUT DR",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759041233",
"telephone_number": "936-634-8155",
"fax_number": "936-633-4678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLUB",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-03",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "50360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.