Active NPI
Alexis Iliana Rey, RPH
- Pharmacist
- Bryan, TX
National Provider Identifier
1992395065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 74483
- Practice address
- 1609 N Texas Ave
Bryan, TX 77803-1828 - Phone
- (979) 822-1850
- NPI assigned
- Jan 22, 2021
- Last updated
- Aug 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 304899 | TX | |
| Pharmacist | 183500000X | 74483 | TX | Primary |
Addresses
Primary practice location
1609 N Texas Ave
Bryan, TX 77803-1828
Mailing address
17119 Highway 6
Manvel, TX 77578-3739
Phone (281) 489-5621
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74483 | TX | MD | Professional Counselor |
| 304899 | TX | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | Current | Accepting new patients | |
| H-E-B, LP | Past | Accepting new patients |
Locations
17119 Highway 6
Manvel, TX 77578
Phone (281) 305-3949
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": "1611273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1992395065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17119 HIGHWAY 6",
"city": "MANVEL",
"state": "TX",
"postal_code": "775783739",
"telephone_number": "281-489-5621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 N TEXAS AVE",
"city": "BRYAN",
"state": "TX",
"postal_code": "778031828",
"telephone_number": "979-822-1850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REY",
"first_name": "ALEXIS",
"middle_name": "ILIANA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-22",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "304899",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "74483",
"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 Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.