Eden Barrera
Individual provider Active NPI Pharmacy Technician · Kenedy, TX
NPI 1396334686 · NPPES record last updated Jan 12, 2021
Key facts
- NPI
- 1396334686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 173354 (TX)
- Practice address
- 107 N Sunset Strip St
Kenedy, TX 78119-2208 - Phone
- (830) 583-9155
- NPI assigned
- Jan 12, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173354 | TX | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 173354 | TX | Yes |
Addresses
Primary practice location
107 N Sunset Strip St
Kenedy, TX 78119-2208
Mailing address
107 N Sunset Strip St
Kenedy, TX 78119-2208
Phone (830) 583-9155
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | na |
Other providers in Kenedy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.