Active NPI
Paul Hoover
- Pharmacist
- Balch Springs, TX
National Provider Identifier
1922724871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 042388
- Practice address
- 11820 Elam Rd
Balch Springs, TX 75180-2746 - Phone
- (972) 286-3530
- NPI assigned
- Oct 12, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 042388 | TX | Primary |
Addresses
Primary practice location
11820 Elam Rd
Balch Springs, TX 75180-2746
Mailing address
292 Stone Ridge Dr
Sunnyvale, TX 75182-2635
Phone (197) 220-3204
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 07417 | CVS PHARMACY INC | |
| CONNECT URL | 07417 | CVS PHARMACY INC |
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 |
|---|---|---|---|
| 042388 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | 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.
-
- Pharmacy
- Stafford, TX
- NPI 1427931351
-
- Pharmacy
- Balch Springs, TX
- NPI 1740387240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1922724871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "292 STONE RIDGE DR",
"city": "SUNNYVALE",
"state": "TX",
"postal_code": "751822635",
"telephone_number": "197-220-3204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11820 ELAM RD",
"city": "BALCH SPRINGS",
"state": "TX",
"postal_code": "751802746",
"telephone_number": "972-286-3530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOVER",
"first_name": "PAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-12",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "042388",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "07417",
"affiliation": "Y",
"affiliationName": "CVS PHARMACY INC",
"address_1": "11820 ELAM RD",
"city": "BALCH SPRINGS",
"state": "TX",
"country_code": "US",
"postal_code": "75180",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "07417",
"affiliation": "Y",
"affiliationName": "CVS PHARMACY INC",
"address_1": "11820 ELAM RD",
"city": "BALCH SPRINGS",
"state": "TX",
"country_code": "US",
"postal_code": "75180",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Balch Springs, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.