Active NPI
Leo Hung
- Pharmacist
- Pecos, TX
National Provider Identifier
1790794055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24494
- Practice address
- 5 Tanglewood St
Pecos, TX 79772-6306 - Phone
- (432) 447-2266
- Fax
- (432) 447-3909
- NPI assigned
- Aug 5, 2006
- 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 | 24494 | TX | Primary |
Addresses
Primary practice location
5 Tanglewood St
Pecos, TX 79772-6306
Mailing address
5 Tanglewood St
Pecos, TX 79772-6306
Phone (432) 447-2266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4500484 | Medicaid | TX |
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 |
|---|---|---|---|
| 24494 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reeves County Home Delivered Meals Program | Current | Accepting new patients | |
| County of Reeves | Current | Accepting new patients | |
| Health Select Inc. | Current | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Pecos, TX
- NPI 1932896842
-
- Skilled Nursing Facility
- Pecos, TX
- NPI 1710977707
-
- Home Delivered Meals
- Pecos, TX
- NPI 1639204183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1790794055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 TANGLEWOOD ST",
"city": "PECOS",
"state": "TX",
"postal_code": "797726306",
"telephone_number": "432-447-2266",
"fax_number": "432-447-3909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 TANGLEWOOD ST",
"city": "PECOS",
"state": "TX",
"postal_code": "797726306",
"telephone_number": "432-447-2266",
"fax_number": "432-447-3909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNG",
"first_name": "LEO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "24494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4500484",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pecos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.