JASON RYAN PENA


Address: 1215 North St, Nacogdoches, TX 75961-4034
Phone: 9365699884

JASON RYAN PENA (NPI# 1669071270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669071270
Entity Type Individual
Full Name JASON RYAN PENA
Practice Address 1215 North St
Nacogdoches
TX 75961-4034
Practice Telephone 9365699884
Mailing Telephone 9365699884
Enumeration Date 2020-10-23
Last Update Date 2020-10-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
61340 TX Pharmacy Service Providers

Other Providers JASON PENA

NPI Name Taxonomy Address Enumeration
1457584518 Jason Pena Ambulance 1523 W Expressway Ste A, Weslaco, TX 78596-4300 2009-08-24

Office Location

Street Address 1215 NORTH ST
City NACOGDOCHES
State TX
Zip Code 75961-4034

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447323977 Kroger Texas L P Durable Medical Equipment & Medical Supplies 1215 North St, Nacogdoches, TX 75961-4034 2006-11-15
1942784665 Joni M Wilson Pharmacist 1215 North St, Nacogdoches, TX 75961-4034 2018-09-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578195582 Trevon Jerrell Jones Specialist/Technologist 13010 Sfa Station, Nacogdoches, TX 75961 2020-02-07
1275014094 Connie Nicole Hamner Licensed Vocational Nurse 214 Cr 387, Nacogdoches, TX 75961 2018-08-29
1689175804 Barbara Stracener Registered Nurse 234 Grove Lane, Nacogdoches, TX 75961 2018-02-22
1710425541 St.alyssamedical Center Clinic/Center 1303 N. Mound Street, Nacogdoches, TX 75961 2017-01-31
1609319458 Nacogdoches Internal Medicine Pllc Internal Medicine 412 North St Ste E, Nacogdoches, TX 75961 2016-11-28
1972982866 Deanna Ellen Bishop Nurse Practitioner 1309 S. University Dr, East Texas Community Health Services, Inc., Nacogdoches, TX 75961 2015-05-25
1659798155 Dr. Ronnie Hancock Family Dentistry, Pllc Dental Hygienist 1302 Raguet Street, Nacogdoches, TX 75961 2014-03-21
1205095585 Chris R Chambers Surgery 1018 N Mound St Ste 106, Nacogdoches, TX 75961 2008-06-03
1972790285 Assisted Living Concepts Inc Assisted Living Facility 901 Oakview Drive, Nacogdoches, TX 75961 2007-10-01
1356492151 James Knox Dowling Pediatrics 2106 N. Raguet, Nacogdoches, TX 75961 2007-01-16
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801497813 Cindy Layton Potter Pharmacist 400 Myrtle St, Nacogdoches, TX 75965-2652 2020-11-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306446398 Claud Cameron Pharmacist 23552 Nameless Rd, Leander, TX 78641-9022 2020-10-28
1306445234 Chloe Lee Pharmacist 4620 Sh 121, Lewisville, TX 75056-4530 2020-10-21
1205435195 Scott Sadlowski Pharmacist 12605 I-45 N, Willis, TX 77318 2020-10-21
1891394102 Shaunda Lynn Jackson Pharmacist 19250 W Lake Houston Pkwy, Humble, TX 77346-2279 2020-10-19
1841898251 Pablo Reyna Castro Pharmacist 3100 S Gordon St, Alvin, TX 77511-4790 2020-10-16
1659979078 Tina Teresa Cherian Pharmacist 341 S Loop 336 W, Conroe, TX 77304-3309 2020-10-16
1316545742 Travis Jones Pharmacist 6767 Spencer Highway, Pasadena, TX 77505 2020-10-16
1396350666 Patient Care Services Pharmacy Consulting, LLC Pharmacist 2000 N Central Expy Ste 214, Plano, TX 75074-5487 2020-09-13
1942813209 Mountaineer Consultants LLC Pharmacist 933 Pellegrino Ave, El Paso, TX 79932-2063 2020-08-26
1326650938 Oluwagbemiga Adeife Otubanjo Pharmacist 1800 Baylor Dr, Arlington, TX 76010-4232 2020-08-17
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Competitor

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City NACOGDOCHES
Zip Code 75961

Improve Information

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Dataset Information

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.

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