Active NPI
Daniel Trevino
- Pharmacist
- Laredo, TX
National Provider Identifier
1295336592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 63588
- Practice address
- 4401 Highway 83 South
Walmart Pharmacy
Laredo, TX 78046 - Phone
- (956) 727-1731
- NPI assigned
- Nov 3, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 63588 | TX | Primary |
Addresses
Primary practice location
4401 Highway 83 South
Walmart Pharmacy
Laredo, TX 78046
Mailing address
4401 Highway 83 South
Walmart Pharmacy
Laredo, TX 78046
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 |
|---|---|---|---|
| 63588 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1295336592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 HIGHWAY 83 SOUTH",
"address_2": "WALMART PHARMACY",
"city": "LAREDO",
"state": "TX",
"postal_code": "78046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 HIGHWAY 83 SOUTH",
"address_2": "WALMART PHARMACY",
"city": "LAREDO",
"state": "TX",
"postal_code": "78046",
"telephone_number": "956-727-1731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVINO",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-03",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "63588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.