Active NPI
Bryan Osmar Casanova Cervantes, CPHT
- Pharmacy Technician
- San Antonio, TX
National Provider Identifier
1801476106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 306526
- Practice address
- 721 Castroville Rd
San Antonio, TX 78237-3134 - Phone
- (210) 436-6465
- NPI assigned
- Apr 11, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 306526 | TX | Primary |
Addresses
Primary practice location
721 Castroville Rd
San Antonio, TX 78237-3134
Mailing address
721 Castroville Rd
San Antonio, TX 78237-3134
Phone (210) 436-6465
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 |
|---|---|---|---|
| 306526 | TX | MD | Pharmacy Technician |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618099200000",
"number": "1801476106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 CASTROVILLE RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782373134",
"telephone_number": "210-436-6465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 CASTROVILLE RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782373134",
"telephone_number": "210-436-6465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASANOVA CERVANTES",
"first_name": "BRYAN",
"middle_name": "OSMAR",
"credential": "CPHT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-11",
"last_updated": "2021-04-11",
"certification_date": "2021-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "306526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Casa de Amistad, Inc. (Casa De Amistad Adult Day Care)
- Casa de Angeles Hospice Care, LLC
- Casa de Voces LLC (Evergreen Therapy)
- Casa Linda Homecare, Inc.
- Michelle Casalean
- Lorie Ann Casanova-Guizar
- Amber Michelle Casanova, PHARMD
- Angela Denise Casanova, LPC
- Areli Casanova
- Daniella Renee Casanova, LVN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.