Active NPI
Evangelina L Avila
- Pharmacy Technician
- San Antonio, TX
National Provider Identifier
1649851460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 100714
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 100714 | TX | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | Past | 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.