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NPI Code Detail

MEDICARE: DR. JAIME PONCE ANAYA PHARM.D.

MEDICARE: DR. JAIME PONCE ANAYA PHARM.D.
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
11835P1200XPharmacotherapy Pharmacist38918TX

General Provider Information

NPI Number : 1205873593
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAIME PONCE ANAYA PHARM.D.
Provider Business Mailing Address
First Line : 7485 UMBRIA DR
Second Line :
City : EL PASO
State : TX
Zip : 79904-3506
Country : US
Telephone Number : 915-751-0430
Fax Number : 915-747-8521
Provider Business Practice Location Address
First Line : 8061 ALAMEDA AVE
Second Line :
City : EL PASO
State : TX
Zip : 79915-4705
Country : US
Telephone Number : 915-859-7545
Fax Number : 915-225-2219
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 02/26/2026

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