Individual provider Active NPI

Enrique Adrian Carrejo

  • Pharmacy Technician
  • Round Rock, TX
National Provider Identifier
1376122242
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
273985 Issued in TX
Practice address
603 Louis Henna Blvd BLDG a
Round Rock, TX 78664-7186
Phone
(512) 828-0814
Fax
(512) 828-0854
NPI assigned
Apr 6, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 273985 TX Primary

Addresses

Primary practice location

603 Louis Henna Blvd BLDG a
Round Rock, TX 78664-7186

Mailing address

21717 Gallus Dr
Pflugerville, TX 78660-4487
Phone (915) 588-6658

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

LicenseStateTypeSpecialty
273985TXMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
H-E-B, LP PastSince Apr 11, 2021 Accepting new patients
H-E-B, LP PastSince Apr 11, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1376122242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21717 GALLUS DR",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604487",
            "telephone_number": "915-588-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 LOUIS HENNA BLVD BLDG A",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647186",
            "telephone_number": "512-828-0814",
            "fax_number": "512-828-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARREJO",
        "first_name": "ENRIQUE",
        "middle_name": "ADRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "273985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.

Verify at the official NPI Registry.