Active NPI
Jacqueline Susan De la Vega, PHARMD RPH
- Pharmacist
- El Paso, TX
National Provider Identifier
1881365229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69529
- Practice address
- 8045 N Loop Dr
El Paso, TX 79915-3227 - Phone
- (915) 592-5849
- NPI assigned
- Sep 24, 2021
- Sex
- Female
- 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 | 69529 | TX | Primary |
Addresses
Primary practice location
8045 N Loop Dr
El Paso, TX 79915-3227
Mailing address
8045 N Loop Dr
El Paso, TX 79915-3227
Phone (915) 592-5849
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
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69529 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1881365229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8045 N LOOP DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799153227",
"telephone_number": "915-592-5849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8045 N LOOP DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799153227",
"telephone_number": "915-592-5849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA VEGA",
"first_name": "JACQUELINE",
"middle_name": "SUSAN",
"credential": "PHARMD RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-24",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "69529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
- Vanessa Nicole De la Rosa, B.S.
- Javier Eduardo De la Torre, M.D.
- Jonathan De la Torre, MD
- Monica T De la Torre, M.A., LPC
- Rosa De la Torre, R.N., A.N.P.
- Jessica Denise De Lara, PC-PNP-C
- Batriz Fatima De Leon, OTR/L
- Rubi De Los Reyes, RN
- Michael James De Luca, MD
- Rodolfo Myronn De Melo Rodrigues, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.