Active NPI
Maricruz Cardenas
- Pharmacy Technician
- Willis, TX
National Provider Identifier
1114821303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 30311492
- Practice address
- 12350 Interstate 45 N
Willis, TX 77378-4734 - Phone
- (936) 272-1027
- NPI assigned
- Oct 2, 2026
- Last updated
- Oct 2, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 30311492 | TX | Primary |
Addresses
Primary practice location
12350 Interstate 45 N
Willis, TX 77378-4734
Mailing address
12350 Interstate 45 N
Willis, TX 77378-4734
Phone (936) 272-1027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790899200000",
"number": "1114821303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12350 INTERSTATE 45 N",
"city": "WILLIS",
"state": "TX",
"postal_code": "773784734",
"telephone_number": "936-272-1027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12350 INTERSTATE 45 N",
"city": "WILLIS",
"state": "TX",
"postal_code": "773784734",
"telephone_number": "936-272-1027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDENAS",
"first_name": "MARICRUZ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-02",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "30311492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willis, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.