Active NPI
Justin Ryan Dunn, PHARMD
- Pharmacist
- Bryan, TX
National Provider Identifier
1952903015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67038
- Practice address
- 643 N Harvey Mitchell Pkwy
Bryan, TX 77807-1012 - Phone
- (979) 599-9208
- NPI assigned
- Nov 13, 2020
- Last updated
- Nov 13, 2020
- 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 | 67038 | TX | Primary |
Addresses
Primary practice location
643 N Harvey Mitchell Pkwy
Bryan, TX 77807-1012
Mailing address
1814 White Stone Dr
Bryan, TX 77807-2623
Phone (979) 599-9208
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 67038 | Other | TX | TEXAS STATE PHARMACY LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | j0d09wz.s04183.us@wal-mart.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67038 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605225600000",
"number": "1952903015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1814 WHITE STONE DR",
"city": "BRYAN",
"state": "TX",
"postal_code": "778072623",
"telephone_number": "979-599-9208",
"fax_number": "979-599-9048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "643 N HARVEY MITCHELL PKWY",
"city": "BRYAN",
"state": "TX",
"postal_code": "778071012",
"telephone_number": "979-599-9208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "JUSTIN",
"middle_name": "RYAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-13",
"last_updated": "2020-11-13",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "67038",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE PHARMACY LICENSE",
"identifier": "67038",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "j0d09wz.s04183.us@wal-mart.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "643 N Harvey Mitchell Pkwy",
"city": "Bryan",
"state": "TX",
"country_code": "US",
"postal_code": "778071012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bryan, TX
- David William Dudycha, D.C.
- Luis Angel Duharte Vidaurre, MD
- Bryan Thomas Duncan, PH.D.
- Danielle Renee Duncan
- Jessica Dundas, FNP
- Charis Durham, M.D.
- Dva Renal Healthcare Inc (Briarcrest Dialysis)
- Deborah Dyjak Diaz, LCSW
- Eagle River Dental Associates (Care Plus Dental Associates)
- Obinna Kelechi Echeruo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.