Unknown Individual – Pharmacist, NPI 1396077939

Unknown Individual is a healthcare provider. based in Whitehouse, Texas. specializing in Pharmacist. They hold a License No. 19868 (TX). The NPI Number for Unknown Individual is 1396077939

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1396077939
Phone
(903) 839-4391
Address
301 HWY 110 N
Deactivation Date
7 April 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience18
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Highway 155 North, Whitehouse, Henry County, Georgia, United States

    WHITEHOUSE, TX 757913111

    Phone: (903) 839-4391

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75791)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1396077939 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Pharmacist. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Whitehouse, Texas for Unknown Individual; expand the address list for detail.
What if Whitehouse, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.