Active NPI
Manuel Cavazos
- Pharmacist
- Lockhart, TX
National Provider Identifier
1902135221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 46375
- Practice address
- 200 S Colorado St
Lockhart, TX 78644-2733 - Phone
- (512) 398-2920
- Fax
- (512) 398-2241
- NPI assigned
- Dec 16, 2009
- Last updated
- Dec 16, 2009
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 46375 | TX | Primary |
Addresses
Primary practice location
200 S Colorado St
Lockhart, TX 78644-2733
Mailing address
9100 Wagtail Dr
Austin, TX 78748-5116
Phone (832) 282-4175
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | 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, 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": "1260921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260921600000",
"number": "1902135221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9100 WAGTAIL DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787485116",
"telephone_number": "832-282-4175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S COLORADO ST",
"city": "LOCKHART",
"state": "TX",
"postal_code": "786442733",
"telephone_number": "512-398-2920",
"fax_number": "512-398-2241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVAZOS",
"first_name": "MANUEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-16",
"last_updated": "2009-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "46375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lockhart, TX
- Caldwell County Coop
- Caldwell County Emergency Services District No 5
- Veronica Cardenas, FNP
- Sofie Loring Cardinal
- Scott Caton, M.A., LPC
- Central Texas Welllness Center, L.L.C. (Lockhart Rehab & Wellness Center)
- Charles E. Laurence MD
- Marissa Ann Childress, LCSW
- Chisholm Trail Clinic of Chiropractic
- City of Lockhart
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.