=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376473355
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JESUS ALBERTO SOLIS JR. R.PH.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/21/2026
-----------------------------------------------------
Last Update Date | 05/21/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2916 MI RANCHITA
-----------------------------------------------------
City | RIO GRANDE CITY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78582-6511
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-849-1811
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2916 MI RANCHITA
-----------------------------------------------------
City | RIO GRANDE CITY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78582-6511
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-849-1811
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1835C0207X
-----------------------------------------------------
Taxonomy Name | Compounded Sterile Preparations Pharmacist
-----------------------------------------------------
License Number | 36856
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------