Active NPI
Yamilex Trevino, PHARMACY TECHNICIAN
- Pharmacy Technician
- Rio Grande City, TX
National Provider Identifier
1124609235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 271893
- Practice address
- 1623 E US Highway 83
Rio Grande City, TX 78582-4600 - Phone
- (956) 488-1660
- NPI assigned
- Apr 20, 2021
- Last updated
- Apr 20, 2021
- 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 | 271893 | TX | Primary |
Addresses
Primary practice location
1623 E US Highway 83
Rio Grande City, TX 78582-4600
Mailing address
1623 E US Highway 83
Rio Grande City, TX 78582-4600
Phone (956) 488-1660
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 |
|---|---|---|---|
| 271893 | TX | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Raven Inc | Past | Accepting new patients | |
| NPI 1972797785 | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1124609235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1623 E US HIGHWAY 83",
"city": "RIO GRANDE CITY",
"state": "TX",
"postal_code": "785824600",
"telephone_number": "956-488-1660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1623 E US HIGHWAY 83",
"city": "RIO GRANDE CITY",
"state": "TX",
"postal_code": "785824600",
"telephone_number": "956-488-1660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVINO",
"first_name": "YAMILEX",
"credential": "PHARMACY TECHNICIAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-20",
"last_updated": "2021-04-20",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "271893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rio Grande City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.