Individual provider Active NPI

Jose Malacara, PHARMD

  • Pharmacist
  • Mission, TX
National Provider Identifier
1780924787
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
50193 Issued in TX
Practice address
2409 E Expressway 83
Mission, TX 78572-1007
Phone
(956) 205-6755
Fax
(956) 205-6781
NPI assigned
Feb 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 50193 TX Primary

Addresses

Primary practice location

2409 E Expressway 83
Mission, TX 78572-1007

Mailing address

121 Mina de Oro St
Mission, TX 78572-6764
Phone (956) 458-0655

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

LicenseStateTypeSpecialty
50193TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
H-E-B, LP Past Accepting new patients
H-E-B, LP 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1780924787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MINA DE ORO ST",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726764",
            "telephone_number": "956-458-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 E EXPRESSWAY 83",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785721007",
            "telephone_number": "956-205-6755",
            "fax_number": "956-205-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALACARA",
        "first_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "50193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.