Individual ProviderHermes Jose OrtizPharmacistPharmacy Service ProvidersPractice Address4922 S Broadway Ave, Tyler, TX 75703-1324(903) 561-6262PECOS EnrollmentBased on the most recent information from CMS, provider Hermes Jose Ortiz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1619203353Provider TypeIndividualFull NameOrtiz, Hermes JoseTitleDr.CredentialPHARM D., R.PHGenderMaleSole ProprietorYesEnumeration Date10/31/2009Last Updated6/2/2025Contact InformationPractice LocationPractice Address4922 S Broadway Ave, Tyler, TX 75703-1324Phone(903) 561-6262Fax(903) 534-0941Mailing LocationMailing Address4922 S Broadway Ave, Tyler, TX 75703-1324Phone(903) 561-6262Fax(903) 534-0941Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense47684Texas