Active NPI
Salvador Portillo III, PHARM. D.
- Pharmacist
- Pflugerville, TX
National Provider Identifier
1023347465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 41719
- Practice address
- 1821 FM 685
Pflugerville, TX 78660-3678 - Phone
- (512) 687-7291
- Fax
- (512) 687-7297
- NPI assigned
- Dec 14, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 41719 | TX | Primary |
Addresses
Primary practice location
1821 FM 685
Pflugerville, TX 78660-3678
Mailing address
1821 FM 685
Pflugerville, TX 78660-3678
Phone (512) 687-7291
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41719 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336694400000",
"number": "1023347465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 FM 685",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786603678",
"telephone_number": "512-687-7291",
"fax_number": "512-687-7297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 FM 685",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786603678",
"telephone_number": "512-687-7291",
"fax_number": "512-687-7297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTILLO",
"first_name": "SALVADOR",
"name_suffix": "III",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-14",
"last_updated": "2012-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "41719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pflugerville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.