Dave B Patrocinio

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

319971 Issued in TX

Practice address

4500 Williams Dr
Georgetown, TX 78633-1332

Phone

(512) 868-1273

Fax

(512) 869-7311

NPI assigned

Aug 8, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1659009702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 WILLIAMS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786331332",
            "telephone_number": "512-868-1273",
            "fax_number": "512-869-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 WILLIAMS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786331332",
            "telephone_number": "512-868-1273",
            "fax_number": "512-869-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATROCINIO",
        "first_name": "DAVE",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "319971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madri Patel, PMHNP-BC
• Pretik Rajesh Patel, PHARMD
• Rohitkumar Patel, M.D.
• Shilpa B Patel, O.D
• Suketu Patel, D.O.
• Griselda Onofre Pattillo, LCSW
• Scott Thomas Pattison, DPM
• Kimberly Sue Patton, FNP-C
• Lorena Paulino Brito
• Richard Wiley Pearce, MD

• Pharmacy Technician in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Pharmacy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.