Active NPI
Ricky Jenkins
- Pharmacist
- Rockwall, TX
National Provider Identifier
1831555671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28596
- Practice address
- 1225 State Highway 276
Rockwall, TX 75032-9376 - Phone
- (972) 772-1609
- NPI assigned
- Jan 9, 2016
- 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 | 28596 | TX | Primary |
Addresses
Primary practice location
1225 State Highway 276
Rockwall, TX 75032-9376
Mailing address
2231 County Road 645
Farmersville, TX 75442-6979
Phone (214) 684-5681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28596 | Other | TX | TEXAS STATE BOARD OF PHARMACY |
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 |
|---|---|---|---|
| 28596 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452297600000",
"number": "1831555671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2231 COUNTY ROAD 645",
"city": "FARMERSVILLE",
"state": "TX",
"postal_code": "754426979",
"telephone_number": "214-684-5681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 STATE HIGHWAY 276",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750329376",
"telephone_number": "972-772-1609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "RICKY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-09",
"last_updated": "2016-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "28596",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE BOARD OF PHARMACY",
"identifier": "28596",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.