Rachel Ann Jimenez

Individual provider Active NPI Pharmacy Technician · Pleasanton, TX

NPI 1154901189 · NPPES record last updated Apr 13, 2021

Key facts

NPI
1154901189
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
100640 (TX)
Practice address
219 W Oaklawn Rd
Pleasanton, TX 78064-4221
Phone
(830) 281-8190
Fax
(866) 430-7927
NPI assigned
Apr 13, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
100640TXMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
H-E-B, LP Past
since Apr 20, 2021
Accepting new patients
H-E-B, LP Past
since Apr 20, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 100640 TX Yes

Addresses

Primary practice location

219 W Oaklawn Rd
Pleasanton, TX 78064-4221

Mailing address

219 W Oaklawn Rd
Pleasanton, TX 78064-4221
Phone (830) 281-8190

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL NA

Other providers in Pleasanton, TX

All providers in Pleasanton, TX · Pharmacy Technician in Texas

Sources for this page

Verify at the official NPI Registry.