Active NPI
Andy Porfirio, CPHT
- Pharmacy Technician
- Bryan, TX
National Provider Identifier
1912550948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 298280
- Practice address
- 14900 E State Highway 21
Bryan, TX 77808-9364 - Phone
- (979) 450-6302
- NPI assigned
- Jul 18, 2019
- Sex
- Male
- 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 | 298280 | TX | Primary |
Addresses
Primary practice location
14900 E State Highway 21
Bryan, TX 77808-9364
Mailing address
Andy.Porfirio7@Gmail.Com
14900 East State Highway 21
Bryan, TX 77808
Phone (979) 450-6302
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 |
|---|---|---|---|
| 298280 | TX | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1912550948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ANDY.PORFIRIO7@GMAIL.COM",
"address_2": "14900 EAST STATE HIGHWAY 21",
"city": "BRYAN",
"state": "TX",
"postal_code": "77808",
"telephone_number": "979-450-6302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14900 E STATE HIGHWAY 21",
"city": "BRYAN",
"state": "TX",
"postal_code": "778089364",
"telephone_number": "979-450-6302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORFIRIO",
"first_name": "ANDY",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-18",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "298280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.