Healthcare Provider Details

I. General information

NPI: 1336202688
Provider Name (Legal Business Name): KORY L. JOST RPH, BCPS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 MEDICAL CENTER ROAD BUILDING 36065
FT HOOD TX
76544
US

IV. Provider business mailing address

590 MEDICAL CENTER ROAD
FT HOOD TX
76544
US

V. Phone/Fax

Practice location:
  • Phone: 254-288-8828
  • Fax:
Mailing address:
  • Phone: 254-288-8828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28601
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: