Active NPI
Victoria Jane Moreno
- Pharmacy Technician
- Boerne, TX
National Provider Identifier
1487412771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 309115
- Practice address
- 29388 Interstate 10 W
Boerne, TX 78006-2789 - Phone
- (830) 249-0150
- NPI assigned
- Mar 11, 2024
- Last updated
- Mar 11, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 309115 | TX | Primary |
Addresses
Primary practice location
29388 Interstate 10 W
Boerne, TX 78006-2789
Mailing address
29388 Interstate 10 W
Boerne, TX 78006-2789
Phone (830) 249-0150
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 |
|---|---|---|---|
| 309115 | TX | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | Current | Accepting new patients |
Locations
29388 Interstate 10 W
Boerne, TX 78006
Phone (830) 249-0150
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": "1710115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1487412771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29388 INTERSTATE 10 W",
"city": "BOERNE",
"state": "TX",
"postal_code": "780062789",
"telephone_number": "830-249-0150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29388 INTERSTATE 10 W",
"city": "BOERNE",
"state": "TX",
"postal_code": "780062789",
"telephone_number": "830-249-0150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "VICTORIA",
"middle_name": "JANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-11",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "309115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.