Active NPI
James Edward Olivarez, RPH
- Pharmacist
- Edinburg, TX
National Provider Identifier
1841334943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28145
- Practice address
- 4630 S Closner Blvd
Edinburg, TX 78539-7279 - Phone
- (956) 289-1880
- Fax
- (956) 289-1873
- NPI assigned
- Feb 20, 2007
- Last updated
- Dec 4, 2017
- 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 | 28145 | TX | Primary |
Addresses
Primary practice location
4630 S Closner Blvd
Edinburg, TX 78539-7279
Mailing address
4630 S Closner Blvd
Edinburg, TX 78539-7279
Phone (956) 289-1880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145695 | 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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28145 | TX | MD | General Practice Dentistry |
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": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512345600000",
"number": "1841334943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4630 S CLOSNER BLVD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785397279",
"telephone_number": "956-289-1880",
"fax_number": "956-289-1873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4630 S CLOSNER BLVD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785397279",
"telephone_number": "956-289-1880",
"fax_number": "956-289-1873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVAREZ",
"first_name": "JAMES",
"middle_name": "EDWARD",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2017-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "28145",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145695",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.