Individual provider Active NPI

Hal Victor Cardiff Jr.

  • Pharmacist
  • Live Oak, TX
National Provider Identifier
1851989974
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26707 Issued in TX
Practice address
12602 Toepperwein Rd Ste 100
Live Oak, TX 78233-3204
Phone
(210) 672-6509
Fax
(210) 590-1759
NPI assigned
Jan 5, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26707 TX Primary

Addresses

Primary practice location

12602 Toepperwein Rd Ste 100
Live Oak, TX 78233-3204

Mailing address

12602 Toepperwein Rd Ste 100
Live Oak, TX 78233-3204
Phone (210) 672-6509

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

LicenseStateTypeSpecialty
26707TXMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1851989974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12602 TOEPPERWEIN RD STE 100",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333204",
            "telephone_number": "210-672-6509",
            "fax_number": "210-590-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12602 TOEPPERWEIN RD STE 100",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333204",
            "telephone_number": "210-672-6509",
            "fax_number": "210-590-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDIFF",
        "first_name": "HAL",
        "middle_name": "VICTOR",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "26707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.