Active NPI
Bruno Alejandro Cantu, PHARMACIST
- Pharmacist
- Alice, TX
National Provider Identifier
1659715670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 52616
- Practice address
- 1115 E Main St
Alice, TX 78332-5046 - Phone
- (361) 664-1344
- NPI assigned
- Apr 21, 2013
- Last updated
- Apr 21, 2013
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 52616 | TX | Primary |
Addresses
Primary practice location
1115 E Main St
Alice, TX 78332-5046
Mailing address
PO Box 96
Benavides, TX 78341-0096
Phone (361) 537-6412
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 |
|---|---|---|---|
| 52616 | TX | MD | Pharmacist |
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": "1366502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366502400000",
"number": "1659715670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 96",
"city": "BENAVIDES",
"state": "TX",
"postal_code": "783410096",
"telephone_number": "361-537-6412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 E MAIN ST",
"city": "ALICE",
"state": "TX",
"postal_code": "783325046",
"telephone_number": "361-664-1344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTU",
"first_name": "BRUNO",
"middle_name": "ALEJANDRO",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-21",
"last_updated": "2013-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "52616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alice, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.