Individual provider Active NPI

Evangelina L Avila

  • Pharmacy Technician
  • San Antonio, TX
National Provider Identifier
1649851460
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
100714 Issued in TX
Practice address
10660 W FM 471
San Antonio, TX 78251-1320
Phone
(210) 684-1234
NPI assigned
Apr 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 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 100714 TX Primary

Addresses

Primary practice location

10660 W FM 471
San Antonio, TX 78251-1320

Mailing address

10660 W FM 471
San Antonio, TX 78251-1320
Phone (210) 684-1234

Other practice location 1

10660 W Fm 471
San Antonio, TX 78251-1320
Phone (210) 684-1234

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL n/a
CONNECT URL Sanantonio Direct

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
100714TXMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
H-E-B, LP PastSince Apr 20, 2021 Accepting new patients

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": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1649851460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10660 W FM 471",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511320",
            "telephone_number": "210-684-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10660 W FM 471",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511320",
            "telephone_number": "210-684-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10660 W Fm 471",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782511320",
            "country_code": "US",
            "telephone_number": "210-684-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVILA",
        "first_name": "EVANGELINA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "100714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "10660 W Fm 471",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782511320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Sanantonio",
            "affiliation": "N",
            "endpointDescription": "pharmacy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10660 W Fm 471",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782511320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.