Brooke Ashly Esquivel
Individual provider Active NPI Pharmacist · Hondo, TX
NPI 1972103208 · NPPES record last updated Oct 27, 2020
Key facts
- NPI
- 1972103208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 67318 (TX)
- Practice address
- 109 22ND St
Hondo, TX 78861-2514 - Phone
- (830) 426-3305
- NPI assigned
- Oct 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67318 | TX | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 67318 | TX | Yes |
Addresses
Primary practice location
109 22ND St
Hondo, TX 78861-2514
Mailing address
435 Blue Ridge Dr
San Antonio, TX 78228-6303
Other providers in Hondo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.