Active NPI
Jessie Escalante
- Community/Retail Pharmacy
- Dickinson, TX
National Provider Identifier
1801416391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 31689
- Practice address
- 614 FM 517 Rd W Ste 606a
Dickinson, TX 77539-3904 - Phone
- (281) 836-5920
- Fax
- (281) 836-5921
- NPI assigned
- Apr 24, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 31689 | TX | Primary |
Addresses
Primary practice location
614 FM 517 Rd W Ste 606a
Dickinson, TX 77539-3904
Mailing address
614 FM 517 Rd W Ste 606a
Dickinson, TX 77539-3904
Phone (281) 836-5920
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 |
|---|---|---|---|
| 31689 | TX | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emrx, LLC | Community/Retail Pharmacy | Current | Accepting new patients |
Locations
614 FM 517 Rd W
Ste 606A
Dickinson, TX 77539
Phone (281) 836-5920
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Dickinson, TX
- NPI 1790305290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1801416391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 FM 517 RD W STE 606A",
"city": "DICKINSON",
"state": "TX",
"postal_code": "775393904",
"telephone_number": "281-836-5920",
"fax_number": "281-836-5921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 FM 517 RD W STE 606A",
"city": "DICKINSON",
"state": "TX",
"postal_code": "775393904",
"telephone_number": "281-836-5920",
"fax_number": "281-836-5921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCALANTE",
"first_name": "JESSIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-24",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "31689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dickinson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.