Javan Miruka Vincent

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

382165 Issued in TX

Practice address

4110 Williams Way Blvd
Richmond, TX 77469-2502

Phone

(281) 239-7071

NPI assigned

Aug 11, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• CVS Pharmacy Inc

  • Pharmacy
  • Stafford, TX
  • NPI 1427931351
  NPD (past)
• CVS Pharmacy Inc

  • Pharmacy
  • Richmond, TX
  • NPI 1780177899
  NPD (past)

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1194600833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 WILLIAMS WAY BLVD",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774692502",
            "telephone_number": "281-239-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 WILLIAMS WAY BLVD",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774692502",
            "telephone_number": "281-239-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "JAVAN",
        "middle_name": "MIRUKA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "382165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Villanueva, PTA
• Laura Villegas, N.P.
• Nick Bryant Villegas, DNP, FNP-C
• Annastasia Chantel Vincent, M. A.
• Brian Vincent
• Viral Mint
• Viralmint LLC
• Virdisland C Gamble DDS PA
• Visionworks, Inc
• Vista Hospice and Palliative Care LLC

• Pharmacy Technician in Richmond, TX
• Providers in Richmond, TX by specialty
• Pharmacy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.