Active NPI
Melissa Ann Mendoza
- Pharmacy Technician
- Victoria, TX
National Provider Identifier
1649860503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 100017
- Practice address
- 6106 N Navarro St
Victoria, TX 77904-1769 - Phone
- (361) 572-8575
- Fax
- (361) 582-0838
- NPI assigned
- Jan 24, 2021
- Last updated
- Jan 24, 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 | 100017 | TX | Primary |
Addresses
Primary practice location
6106 N Navarro St
Victoria, TX 77904-1769
Mailing address
1802 Morningside St
Victoria, TX 77901-7128
Phone (361) 652-3578
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 |
|---|---|---|---|
| 100017 | 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": "1611446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611446400000",
"number": "1649860503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 MORNINGSIDE ST",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779017128",
"telephone_number": "361-652-3578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6106 N NAVARRO ST",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779041769",
"telephone_number": "361-572-8575",
"fax_number": "361-582-0838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "MELISSA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-24",
"last_updated": "2021-01-24",
"certification_date": "2021-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "100017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.