Active NPI
Aida Janet Gutierrez, CPHT
- Pharmacy Technician
- Port Arthur, TX
National Provider Identifier
1225627607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- Practice address
- 4800 Highway 365
Port Arthur, TX 77642-7403 - Phone
- (409) 722-4066
- NPI assigned
- Jan 11, 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 | Primary |
Addresses
Primary practice location
4800 Highway 365
Port Arthur, TX 77642-7403
Mailing address
4800 Highway 365
Port Arthur, TX 77642-7403
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
Practice roles
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610323200000",
"number": "1225627607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 HIGHWAY 365",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776427403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 HIGHWAY 365",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776427403",
"telephone_number": "409-722-4066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "AIDA",
"middle_name": "JANET",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-11",
"last_updated": "2021-01-11",
"certification_date": "2021-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "na",
"affiliation": "N",
"address_1": "4800 Highway 365",
"city": "Port Arthur",
"state": "TX",
"country_code": "US",
"postal_code": "776427403",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Port Arthur, TX
- Gulf Coast Health Center, Inc (GCHC-Port Arthur Park Plaza Site)
- Gulf Coast Health Center, Inc.
- Gulf Coast Health Center, Inc. (Gulf Coast Health Center-Phillis Wheatley-SBHC)
- Gulf Coast Open MRI Unit LTD
- Gulfside Dental Port Arthur PLLC
- Maria E Gutierrez, M.ED., LPC
- H-E-B, LP (HEB Pharmacy #589)
- Kahirup Calimlin Habana, PT
- Desalegn Hailu
- Chris Hale, CST, SA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.