Active NPI
Alejandro Banegas Garcia
- Pharmacy Technician
- Bryan, TX
National Provider Identifier
1609544485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 317346
- Practice address
- 1609 N Texas Ave
Bryan, TX 77803-1828 - Phone
- (979) 778-2074
- NPI assigned
- Sep 5, 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 | 317346 | TX | Primary |
Addresses
Primary practice location
1609 N Texas Ave
Bryan, TX 77803-1828
Mailing address
1609 N Texas Ave
Bryan, TX 77803-1828
Phone (979) 778-2074
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 |
|---|---|---|---|
| 317346 | TX | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | Current | Accepting new patients | |
| H-E-B, LP | Past | Accepting new patients |
Locations
1609 N Texas Ave
Bryan, TX 77803
Phone (979) 778-2074
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.
-
- Community/Retail Pharmacy
- Bryan, TX
- NPI 1316235005
-
- Community/Retail Pharmacy
- Georgetown, TX
- NPI 1770393217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630800000000",
"number": "1609544485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 N TEXAS AVE",
"city": "BRYAN",
"state": "TX",
"postal_code": "778031828",
"telephone_number": "979-778-2074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 N TEXAS AVE",
"city": "BRYAN",
"state": "TX",
"postal_code": "778031828",
"telephone_number": "979-778-2074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "ALEJANDRO",
"middle_name": "BANEGAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-05",
"last_updated": "2021-09-05",
"certification_date": "2021-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "317346",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "heb pharmacy",
"address_2": "1609 N texas ave",
"city": "bryan",
"state": "TX",
"country_code": "US",
"postal_code": "77803",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.