Active NPI
Jason W King, RPH
- Pharmacist
- Port Arthur, TX
National Provider Identifier
1992037139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 38305
- Practice address
- 4800 Highway 365
Port Arthur, TX 77642-7403 - Phone
- (409) 722-4066
- Fax
- (409) 722-4588
- NPI assigned
- Feb 12, 2010
- 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 | 38305 | TX | Primary |
Addresses
Primary practice location
4800 Highway 365
Port Arthur, TX 77642-7403
Mailing address
5355 Oakwood Cir
Orange, TX 77630-0225
Phone (409) 543-4370
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38305 | TX | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265932800000",
"number": "1992037139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5355 OAKWOOD CIR",
"city": "ORANGE",
"state": "TX",
"postal_code": "776300225",
"telephone_number": "409-543-4370",
"fax_number": "409-722-4588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 HIGHWAY 365",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776427403",
"telephone_number": "409-722-4066",
"fax_number": "409-722-4588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JASON",
"middle_name": "W",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-12",
"last_updated": "2010-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "38305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Arthur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.