Individual provider Active NPI

Javier Garza

  • Pharmacist
  • San Juan, TX
National Provider Identifier
1922604107
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
23288 Issued in TX
Practice address
601 S Nebraska Ave
San Juan, TX 78589-2647
Phone
(956) 787-1861
Fax
(956) 787-2093
NPI assigned
Dec 11, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23288 TX Primary

Addresses

Primary practice location

601 S Nebraska Ave
San Juan, TX 78589-2647

Mailing address

601 S Nebraska Ave
San Juan, TX 78589-2647
Phone (956) 787-1861

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
23288TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Martin's San Juan Drug, Inc CurrentSince Dec 13, 2020 Accepting new patients

Locations

601 S Nebraska Ave
San Juan, TX 78589
Phone (956) 212-1186

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": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1922604107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S NEBRASKA AVE",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785892647",
            "telephone_number": "956-787-1861",
            "fax_number": "956-787-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S NEBRASKA AVE",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785892647",
            "telephone_number": "956-787-1861",
            "fax_number": "956-787-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "JAVIER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "23288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.