MEDICARE: YSARIS NIEVES-RODRIGUEZ 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
1	183500000X	Pharmacist	48591	TX

General Provider Information

NPI Number	:	1639249725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YSARIS NIEVES-RODRIGUEZ PHARM D

Provider Business Mailing Address
First Line	:	36065 SANTA FE AVE
Second Line	:
City	:	FORT HOOD
State	:	TX
Zip	:	76544-5060
Country	:	US
Telephone Number	:	254-288-8828
Fax Number	:

Provider Business Practice Location Address
First Line	:	36065 SANTA FE AVE
Second Line	:	DARNALL ARMY MEDICAL CENTER, DEPARTMENT OF PHARMACY
City	:	FORT HOOD
State	:	TX
Zip	:	76544-5060
Country	:	US
Telephone Number	:	254-288-8828
Fax Number	:

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

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	05/27/2026

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