Active NPI
Joel Muth
- Pharmacist
- Canyon, TX
National Provider Identifier
1972382653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 72646
- Practice address
- 1701 N 23Rd St
Canyon, TX 79015-7962 - Phone
- (806) 655-1175
- NPI assigned
- Sep 22, 2023
- Last updated
- Sep 22, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 214962 | AK | |
| Pharmacist | 183500000X | 72646 | TX | Primary |
Addresses
Primary practice location
1701 N 23Rd St
Canyon, TX 79015-7962
Mailing address
1804 NE 16TH Ave
Amarillo, TX 79107-6603
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 |
|---|---|---|---|
| 214962 | AK | MD | Pharmacist |
| 72646 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695340800000",
"number": "1972382653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 NE 16TH AVE",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791076603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 N 23RD ST",
"city": "CANYON",
"state": "TX",
"postal_code": "790157962",
"telephone_number": "806-655-1175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTH",
"first_name": "JOEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-22",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "214962",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "72646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canyon, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.