Monique Gail Dela Cruz Bactad

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

Practice address

3663 Washington Ave Ste 100
Houston, TX 77007-6469

Phone

(713) 426-1961

NPI assigned

Jun 17, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• H-E-B, LP

  • Community/Retail Pharmacy
  • Houston, TX
  • NPI 1669035333
  NPD

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1336870690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 HORSESHOE FLS",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774596911",
            "telephone_number": "832-316-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 WASHINGTON AVE STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770076469",
            "telephone_number": "713-426-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACTAD",
        "first_name": "MONIQUE GAIL",
        "middle_name": "DELA CRUZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "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": "3663 Washington Ave Ste 100",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770076469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexis Victoria Bacon-Yates, MS., ED.
• Gayle Bacon, M.S., CCC-SLP
• Jessica Rose Ognian Bacon, LPC
• Katherine Marie Bacon, PH.D.
• Robert J Bacon Jr., MD
• Shani Bacy
• Shadi Badan, M.D.
• Kausar T Badar, CNMT
• Tehmina Ahmed Badar, M.D.
• Jessica Badawi

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.