Active NPI
Brenda Cecilia Trevino
- Pharmacy Technician
- Palmhurst, TX
National Provider Identifier
1679147656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 280318
- Practice address
- 120 E Mile 3 Rd
Palmhurst, TX 78573-5079 - Phone
- (956) 583-3229
- NPI assigned
- May 14, 2021
- Last updated
- May 14, 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 | 280318 | TX | Primary |
Addresses
Primary practice location
120 E Mile 3 Rd
Palmhurst, TX 78573-5079
Mailing address
120 E Mile 3 Rd
Palmhurst, TX 78573-5079
Phone (956) 583-3229
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA |
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 |
|---|---|---|---|
| 280318 | TX | MD | Pharmacy Technician |
Practice roles
Organizations & group practices 2
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": "1620950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1679147656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 E MILE 3 RD",
"city": "PALMHURST",
"state": "TX",
"postal_code": "785735079",
"telephone_number": "956-583-3229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E MILE 3 RD",
"city": "PALMHURST",
"state": "TX",
"postal_code": "785735079",
"telephone_number": "956-583-3229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVINO",
"first_name": "BRENDA",
"middle_name": "CECILIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-14",
"last_updated": "2021-05-14",
"certification_date": "2021-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "280318",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "120 E Mile 3 Rd",
"city": "Palmhurst",
"state": "TX",
"country_code": "US",
"postal_code": "785735079",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Palmhurst, TX
- Marissa Yvette Segura, SLPA
- Toni Maria Sheppard, RPHT
- Ashley Michelle Smitherman, DDS
- Southland Pharmacy #2
- Melissa Ann Tijerina
- Yessica Astrid Vazquez
- Ileana Vicinaiz, RD, LD
- Nicole Villarreal, SLPA
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-3320)
- Wal-Mart Stores Texas, LLC (Vision Center 30-3320)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.