Active NPI
Carol G Cavazos
- Pharmacy Technician
- Corpus Christi, TX
National Provider Identifier
1073232807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 100039
- Practice address
- 3033 S Port Ave
Corpus Christi, TX 78405-2040 - Phone
- (361) 883-0875
- Fax
- (361) 883-2592
- NPI assigned
- Aug 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 100039 | TX | Primary |
Addresses
Primary practice location
3033 S Port Ave
Corpus Christi, TX 78405-2040
Mailing address
3033 S Port Ave
Corpus Christi, TX 78405-2040
Phone (361) 883-0875
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 100039 | TX | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1073232807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3033 S PORT AVE",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784052040",
"telephone_number": "361-883-0875",
"fax_number": "361-883-2592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3033 S PORT AVE",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784052040",
"telephone_number": "361-883-0875",
"fax_number": "361-883-2592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVAZOS",
"first_name": "CAROL",
"middle_name": "G",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-24",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "100039",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "3033 S Port Ave",
"city": "Corpus Christi",
"state": "TX",
"country_code": "US",
"postal_code": "784052040",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.