Individual provider Active NPI

Ashley Moron

  • Pharmacy Technician
  • Crystal City, TX
National Provider Identifier
1740802727
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
210683 Issued in TX
Practice address
224 E Zavala St
Crystal City, TX 78839-3512
Phone
(830) 374-3436
NPI assigned
May 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 210683 TX Primary

Addresses

Primary practice location

224 E Zavala St
Crystal City, TX 78839-3512

Mailing address

50 County Road 4005
Crystal City, TX 78839-1563
Phone (830) 854-1086

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

LicenseStateTypeSpecialty
210683TXMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Pharm House Crystal City, LLC PastSince May 17, 2020 Accepting new patients
Crystal Drug LP PastSince May 17, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1740802727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COUNTY ROAD 4005",
            "city": "CRYSTAL CITY",
            "state": "TX",
            "postal_code": "788391563",
            "telephone_number": "830-854-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E ZAVALA ST",
            "city": "CRYSTAL CITY",
            "state": "TX",
            "postal_code": "788393512",
            "telephone_number": "830-374-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORON",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "210683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.