Individual provider Active NPI

Alexis Noelle Betancourt, PHARMD

  • Pharmacist
  • El Paso, TX
National Provider Identifier
1861297459
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
71878 Issued in TX
Practice address
12025 Rojas Dr Ste I
El Paso, TX 79936-7721
Phone
(915) 910-7070
Fax
(915) 910-4607
NPI assigned
Feb 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 71878 TX Primary

Addresses

Primary practice location

12025 Rojas Dr Ste I
El Paso, TX 79936-7721

Mailing address

12025 Rojas Dr Ste I
El Paso, TX 79936-7721
Phone (915) 910-7070

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
71878TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dji Pharmacy Services LLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

12025 Rojas Dr
Ste I
El Paso, TX 79936
Phone (915) 910-7070

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": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1861297459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12025 ROJAS DR STE I",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367721",
            "telephone_number": "915-910-7070",
            "fax_number": "915-910-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12025 ROJAS DR STE I",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367721",
            "telephone_number": "915-910-7070",
            "fax_number": "915-910-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "ALEXIS",
        "middle_name": "NOELLE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "71878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.