Active NPI
Nestor Gaytan
- Pharmacist
- El Paso, TX
National Provider Identifier
1316347396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55353
- Practice address
- 1780 N Lee Trevino Dr
El Paso, TX 79936-4522 - Phone
- (915) 799-9000
- NPI assigned
- Aug 27, 2014
- Last updated
- Sep 13, 2022
- 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 | 55353 | TX | Primary |
Addresses
Primary practice location
1780 N Lee Trevino Dr
El Paso, TX 79936-4522
Mailing address
1325 Michelangelo Dr
El Paso, TX 79936-7245
Phone (915) 740-4993
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 |
|---|---|---|---|
| 55353 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1409097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1316347396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 MICHELANGELO DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799367245",
"telephone_number": "915-740-4993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1780 N LEE TREVINO DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799364522",
"telephone_number": "915-799-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAYTAN",
"first_name": "NESTOR",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-27",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "55353",
"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 Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.