MEDICARE: ERNEST JAMES ESTRADA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	75891	TX

General Provider Information

NPI Number	:	1043150428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERNEST JAMES ESTRADA

Provider Business Mailing Address
First Line	:	230 WESTWAY PL STE 101
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018-1018
Country	:	US
Telephone Number	:	866-869-7307
Fax Number	:

Provider Business Practice Location Address
First Line	:	230 WESTWAY PL STE 101
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018-1018
Country	:	US
Telephone Number	:	866-869-7307
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2026
Last Update Date	:	03/28/2026

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