Joe E Callaway

Primary specialty

PharmacistTaxonomy code 183500000X

License

16467 Issued in TX

Practice address

1909 Grand Ave
Liberty, TX 77575-4803

Phone

(936) 776-5228

NPI assigned

Feb 13, 2020

Sex

Male

Sole proprietor

Yes

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.

• Irls LLC

  • Community/Retail Pharmacy
  • Liberty, TX
  • NPI 1740666916
  NPD (past)
• Liberty Pharmacy LLC

  • Community/Retail Pharmacy
  • Sulphur Springs, TX
  • NPI 1811014285
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 13, 2020.

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1972136349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 GRAND AVE",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775754803",
            "telephone_number": "936-776-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 GRAND AVE",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775754803",
            "telephone_number": "936-776-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAWAY",
        "first_name": "JOE",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "16467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Wayne Branham, RN, ACNP
• Brookshire Brothers Inc
• Lenita D Broussard, PTA
• Arthur Reese Brown, M.D.
• Bryan Rehabiltation Services, Inc.
• Don Shannon Callens, MD
• Kendra Caswell, MS CCC-SLP
• Chiropractic First
• City of Liberty
• Susan D. Clark, NP-C

• All providers in Liberty, TX
• Pharmacist in Texas

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

Verify at the official NPI Registry.