Active NPI
Walter Antonio Rivas
- Pharmacist
- Cypress, TX
National Provider Identifier
1669148011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69080
- Practice address
- 24224 Northwest Fwy
Cypress, TX 77429-5683 - Phone
- (281) 758-1155
- NPI assigned
- Aug 17, 2021
- 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 | 69080 | TX | Primary |
Addresses
Primary practice location
24224 Northwest Fwy
Cypress, TX 77429-5683
Mailing address
24224 Northwest Fwy
Cypress, TX 77429-5683
Phone (281) 758-1155
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | N/A |
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 |
|---|---|---|---|
| 69080 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1669148011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24224 NORTHWEST FWY",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774295683",
"telephone_number": "281-758-1155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24224 NORTHWEST FWY",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774295683",
"telephone_number": "281-758-1155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVAS",
"first_name": "WALTER",
"middle_name": "ANTONIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-17",
"last_updated": "2021-08-17",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "69080",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "24224 Northwest Fwy",
"city": "Cypress",
"state": "TX",
"country_code": "US",
"postal_code": "774295683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.