Active NPI
Pharmacy Station LLC
- Pharmacy
- Raymondville, TX
National Provider Identifier
1003373184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- PHARMACY STATION LLC
- Practice address
- 640 S Expressway
Suite 1
Raymondville, TX 78580 - Phone
- (956) 690-4090
- Fax
- (956) 690-4210
- NPI assigned
- Feb 26, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jose Alberto Vela
- Title
- Owner
- Phone
- (956) 583-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
640 S Expressway
Suite 1
Raymondville, TX 78580
Mailing address
640 S Expressway
Suite 1
Raymondville, TX 78580
Phone (956) 690-4090
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000 | Other | TX | NONE |
| 150019 | Medicaid | TX |
Other names 1
- Pharmacy Station
National Provider Directory
National Provider Directory- Tax ID family
- Pharmacy Station
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Raymondville, TX
- NPI 1770380040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740441600000",
"number": "1003373184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 S EXPRESSWAY",
"address_2": "SUITE 1",
"city": "RAYMONDVILLE",
"state": "TX",
"postal_code": "78580",
"telephone_number": "956-690-4090",
"fax_number": "956-690-4210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 S EXPRESSWAY",
"address_2": "SUITE 1",
"city": "RAYMONDVILLE",
"state": "TX",
"postal_code": "78580",
"telephone_number": "956-690-4090",
"fax_number": "956-690-4210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHARMACY STATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-26",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A",
"authorized_official_last_name": "VELA",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "ALBERTO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "956-583-2700"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "000",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150019",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pharmacy Station",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Pharmacy Station",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Raymondville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.