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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457584518 | Jason Pena | Ambulance | 1523 W Expressway Ste A, Weslaco, TX 78596-4300 | 2009-08-24 |
Street Address |
1215 NORTH ST |
City | NACOGDOCHES |
State | TX |
Zip Code | 75961-4034 |
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 |
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 |
Find all providers in zip 75961 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801497813 | Cindy Layton Potter | Pharmacist | 400 Myrtle St, Nacogdoches, TX 75965-2652 | 2020-11-05 |
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 |
Find all providers with the same taxonomy |
City | NACOGDOCHES |
Zip Code | 75961 |
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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.