Individual provider Active NPI

Alexis Iliana Rey, RPH

  • Pharmacist
  • Bryan, TX
National Provider Identifier
1992395065
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
74483 Issued in TX
Practice address
1609 N Texas Ave
Bryan, TX 77803-1828
Phone
(979) 822-1850
NPI assigned
Jan 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
74483TXMDPharmacist
304899TXMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
H-E-B, LP CurrentSince Aug 18, 2024 Accepting new patients
H-E-B, LP PastSince Jan 24, 2021 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.