NPIMap

Organization Active NPI

MXJ Inc Dba Baggett Pharmacy

  • Pharmacist
  • Fort Stockton, TX
National Provider Identifier
1962576538
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
27914 Issued in TX
Legal business name
MXJ INC DBA BAGGETT PHARMACY
Practice address
509 N Main St
Fort Stockton, TX 79735-5623
Phone
(432) 336-2297
Fax
(432) 336-6248
NPI assigned
Nov 17, 2006
Last updated
Jan 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Mr. Mario Xavier Juarez, RPHNPI 1972967396
Title
Owner
Phone
(432) 336-2297

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 27914 TX Primary

Addresses

Primary practice location

509 N Main St
Fort Stockton, TX 79735-5623

Mailing address

509 N Main St
Fort Stockton, TX 79735-5623
Phone (432) 336-2297

Other identifiers 3

IdentifierTypeStateIssuer
145104MedicaidTX
4587171OtherNABDP #
091530802MedicaidTX

National Provider Directory

National Provider Directory

Locations

509 N Main St
Fort Stockton, TX 79735
Phone (432) 336-2297

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1962576538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N MAIN ST",
            "city": "FORT STOCKTON",
            "state": "TX",
            "postal_code": "797355623",
            "telephone_number": "432-336-2297",
            "fax_number": "432-336-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N MAIN ST",
            "city": "FORT STOCKTON",
            "state": "TX",
            "postal_code": "797355623",
            "telephone_number": "432-336-2297",
            "fax_number": "432-336-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MXJ INC DBA BAGGETT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "JUAREZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "XAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-336-2297",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "27914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145104",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABDP #",
            "identifier": "4587171",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091530802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Stockton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.