Active NPI
Amanda Gabriela Segovia
- Pharmacist
- El Paso, TX
National Provider Identifier
1275128068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 50943
- Practice address
- 12051 Tierra Este Rd
El Paso, TX 79938-4573 - Phone
- (915) 921-6302
- Fax
- (915) 219-4450
- NPI assigned
- Mar 4, 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 50943 | TX | Primary |
Addresses
Primary practice location
12051 Tierra Este Rd
El Paso, TX 79938-4573
Mailing address
12051 Tierra Este Rd
El Paso, TX 79938-4573
Phone (915) 921-6302
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 |
|---|---|---|---|
| 50943 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
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, 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": "1614816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1275128068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12051 TIERRA ESTE RD",
"city": "EL PASO",
"state": "TX",
"postal_code": "799384573",
"telephone_number": "915-921-6302",
"fax_number": "915-219-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12051 TIERRA ESTE RD",
"city": "EL PASO",
"state": "TX",
"postal_code": "799384573",
"telephone_number": "915-921-6302",
"fax_number": "915-219-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGOVIA",
"first_name": "AMANDA",
"middle_name": "GABRIELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-04",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "50943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.