MEDICARE: MR. DANIEL R HERNANDEZ RPH.

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	33349	TX
2	1835X0200X	Oncology Pharmacist	33349	TX

General Provider Information

NPI Number	:	1861554685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DANIEL R HERNANDEZ RPH.

Provider Business Mailing Address
First Line	:	121 PLUMOSA CT
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78552-6633
Country	:	US
Telephone Number	:	956-412-8534
Fax Number	:	956-364-6786

Provider Business Practice Location Address
First Line	:	2121 PEASE ST STE 101
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550-8321
Country	:	US
Telephone Number	:	956-364-6735
Fax Number	:	956-364-6786

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

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	09/11/2025

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