Active NPI
Jobin John, RPH
- Pharmacist
- Nederland, TX
National Provider Identifier
1801430665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 57205
- Practice address
- 1505 S Highway 69
Nederland, TX 77627-7807 - Phone
- (409) 853-4100
- NPI assigned
- Nov 4, 2019
- Last updated
- Nov 4, 2019
- 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 | 57205 | TX | Primary |
Addresses
Primary practice location
1505 S Highway 69
Nederland, TX 77627-7807
Mailing address
6619 Brady Springs LN
Sugar Land, TX 77479-4391
Phone (832) 503-5648
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57205 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BCRR RX Inc | Current | Accepting new patients |
Locations
1505 S Highway 69
Nederland, TX 77627
Phone (409) 727-4220
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1801430665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6619 BRADY SPRINGS LN",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774794391",
"telephone_number": "832-503-5648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 S HIGHWAY 69",
"city": "NEDERLAND",
"state": "TX",
"postal_code": "776277807",
"telephone_number": "409-853-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "JOBIN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-04",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "57205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nederland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.