Organization Active NPI

International Pharmacies

  • Community/Retail Pharmacy
  • Brownsville, TX
National Provider Identifier
1003984030
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
16122 Issued in TX
Legal business name
INTERNATIONAL PHARMACIES
Doing business as
Lindale Pharmacy
Practice address
500 Paredas Line Rd
Brownsville, TX 78521
Phone
(956) 546-3741
Fax
(956) 546-5254
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jose Rolando Olvera Sr., PHARMACIST
Title
Pharmacist in Charge
Phone
(956) 546-3741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 16122 TX Primary

Addresses

Primary practice location

500 Paredas Line Rd
Brownsville, TX 78521

Mailing address

500 Paredas Line Rd
Suite #8
Brownsville, TX 78521
Phone (956) 546-3741

Other identifiers 1

IdentifierTypeStateIssuer
142970MedicaidTX

Other names 1

  • Lindale Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hectors Professional Phcy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

500 Paredes Line Rd
Brownsville, TX 78521
Phone (956) 546-3741

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003984030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PAREDAS LINE RD",
            "address_2": "SUITE #8",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78521",
            "telephone_number": "956-546-3741",
            "fax_number": "956-546-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PAREDAS LINE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78521",
            "telephone_number": "956-546-3741",
            "fax_number": "956-546-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL PHARMACIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLVERA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ROLANDO",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "956-546-3741",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "16122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142970",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lindale Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.