Individual provider Active NPI

Sandra Teresea Yniguez

  • Pharmacy Technician
  • Las Cruces, NM
National Provider Identifier
1053130906
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
67043583A Issued in IN
Practice address
1625 Birch CT
Las Cruces, NM 88001-2437
Phone
(562) 417-8778
NPI assigned
Oct 8, 2024
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X TCH21463 CA
Pharmacy Technician 183700000X PT00016739 NM
Pharmacy Technician 183700000X 67043583A IN Primary

Addresses

Primary practice location

1625 Birch CT
Las Cruces, NM 88001-2437

Mailing address

1625 Birch CT
Las Cruces, NM 88001-2437
Phone (562) 417-8778

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

State licenses

LicenseStateTypeSpecialty
TCH21463CAMDPharmacy Technician
67043583AINMDPharmacy Technician
PT00016739NMMDPharmacy Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1053130906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 BIRCH CT",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880012437",
            "telephone_number": "562-417-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 BIRCH CT",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880012437",
            "telephone_number": "562-417-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YNIGUEZ",
        "first_name": "SANDRA",
        "middle_name": "TERESEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "TCH21463",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "NM",
            "license": "PT00016739",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "IN",
            "license": "67043583A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.