MR. JACK D. AVERYT JR. (NPI# 1306928312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306928312 |
| Entity Type | Individual |
| Full Name | MR. JACK D. AVERYT JR. |
| Credential | R.PH. |
| Practice Address |
2500 Cross Dr Killeen TX 76543-5256 |
| Mailing Address |
850 Walnut Dr Killeen TX 76549-6552 |
| Practice Telephone | 2546991133 |
| Practice Fax Number | 2546991134 |
| Mailing Telephone | 2545269220 |
| Mailing Fax Number | 2546991134 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 18747 | TX | Pharmacy Service Providers |
| Street Address |
2500 CROSS DR |
| City | KILLEEN |
| State | TX |
| Zip Code | 76543-5256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093883076 | Baylor Health Enterprises Lp | Pharmacy | 2500 Cross Dr, Killeen, TX 76543-5256 | 2006-11-30 |
| 1326122888 | Alan Bruce Ward | Pharmacist | 2500 Cross Dr, Killeen, TX 76543-5256 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871146415 | 20 20 Icare Pllc | Optometrist | 3213 E Central Expressway Ste 100b, Killeen, TX 76543 | 2019-07-23 |
| 1801377627 | Pankti Shah | Physical Therapist | Rosewood Retirement Community, 5700 E. Central Texas Expy, Killeen, TX 76543 | 2018-08-29 |
| 1134648207 | Metx, LLC | Audiologist-Hearing Aid Fitter | 3210 E Central Texas Expy, Killeen, TX 76543 | 2017-09-11 |
| 1558770628 | Pm Management Killeen I Nc, LLC | Assisted Living Facility | 5701 E. Central Texas Expressway, Killeen, TX 76543 | 2014-08-04 |
| 1649688722 | Rashad Altawaty | Dentist | 2202 South W S Young Drive, Killeen, TX 76543 | 2014-08-01 |
| 1881950004 | Bradley V Culling | Anesthesiology | 3400 E Central Texas Expy Ste 1, Killeen, TX 76543 | 2012-04-02 |
| 1437386364 | Cenikor Foundation | Community/Behavioral Health | 4520 E Central Texas Expressway, #102, Killeen, TX 76543 | 2009-06-18 |
| 1851595060 | Jack Jones Hearing Centers, Inc | Audiologist | 1711 E Central Texas Expressway, Suite 108-3, Killeen, TX 76543 | 2007-06-12 |
| 1871713412 | Olga Rodgers | Speech-Language Pathologist | 2201 South Ws Young, Suite 117 A-1, Killeen, TX 76543 | 2007-04-26 |
| 1336367978 | Advanced Women's Health Center, Pa | Clinic/Center | 2201 South Ws Young Drive, Suite 114b, Killeen, TX 76543 | 2007-04-20 |
| Find all providers in zip 76543 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033665617 | Shashank Patel | Pharmacist | 2900 South Clear Creek Rd, Killeen, TX 76549 | 2016-09-01 |
| 1528425832 | Cory Waksmunski | Pharmacist | 3801 E Stan Schlueter Loop, Killeen, TX 76542 | 2016-01-19 |
| 1649678772 | Lesha Simmons | Pharmacist | 1106 Ronstan Dr Apt 6, Killeen, TX 76542-1626 | 2014-12-05 |
| 1932426046 | Jason S Tran | Pharmacist | 218 E Avenue B, Killeen, TX 76541-5223 | 2010-04-28 |
| 1669796918 | Sandip Soni | Pharmacist | 1101 S Fort Hood St, Killeen, TX 76541-7451 | 2010-03-16 |
| 1033120217 | Melissa Raines Sanders | Pharmacist | 2511 Trimmier Rd Ste 100, Killeen, TX 76542-1910 | 2006-08-11 |
| 1033124417 | Cynthia Yin Mun Morinaga | Pharmacist | 2805 Wisteria Ln, Killeen, TX 76549-4981 | 2006-07-31 |
| 1558358192 | The Ke Ha | Pharmacist | 4201 Flamingo Dr, Killeen, TX 76549-4605 | 2005-09-29 |
| 1235730938 | Ruhan Lakhani | Pharmacist | 3404 W Stan Schlueter Loop, Killeen, TX 76549-4705 | 2020-11-08 |
| 1871194779 | Neko N Adorka | Pharmacist | 3801 E Stan Schlueter Loop, Killeen, TX 76542-6623 | 2020-11-05 |
| Find all providers in KILLEEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.