Active NPI
Victor Albert Trevino Jr.
- Pharmacy Technician
- Katy, TX
National Provider Identifier
1598345134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 100472
- Practice address
- 1621 S Mason Rd
Katy, TX 77450-4564 - Phone
- (281) 599-0958
- Fax
- (281) 599-7515
- NPI assigned
- Apr 8, 2021
- Last updated
- Apr 8, 2021
- Sex
- Male
- 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 | 100472 | TX | Primary |
Addresses
Primary practice location
1621 S Mason Rd
Katy, TX 77450-4564
Mailing address
1621 S Mason Rd
Katy, TX 77450-4564
Phone (281) 599-0958
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA | ||
| CONNECT URL | NA | ||
| CONNECT URL | NA |
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 |
|---|---|---|---|
| 100472 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | Current | Accepting new patients | |
| H-E-B, LP | Past | Accepting new patients |
Locations
1621 S Mason Rd
Katy, TX 77450
Phone (281) 599-0045
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, 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": "1617840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1598345134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 S MASON RD",
"city": "KATY",
"state": "TX",
"postal_code": "774504564",
"telephone_number": "281-599-0958",
"fax_number": "281-599-7515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 S MASON RD",
"city": "KATY",
"state": "TX",
"postal_code": "774504564",
"telephone_number": "281-599-0958",
"fax_number": "281-599-7515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVINO",
"first_name": "VICTOR",
"middle_name": "ALBERT",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-08",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "100472",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "1621 S Mason Rd",
"city": "Katy",
"state": "TX",
"country_code": "US",
"postal_code": "774504564",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "1621 S Mason Rd",
"city": "Katy",
"state": "TX",
"country_code": "US",
"postal_code": "774504564",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "1621 S Mason Rd",
"city": "Katy",
"state": "TX",
"country_code": "US",
"postal_code": "774504564",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.