Organization Active NPI

Corando Rios Trevino Dba Modern Pharmacy

  • Community/Retail Pharmacy
  • Robstown, TX
National Provider Identifier
1033380746
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CORANDO RIOS TREVINO DBA MODERN PHARMACY
Practice address
305 W Avenue a
Robstown, TX 78380-3209
Phone
(361) 387-4721
Fax
(361) 387-0043
NPI assigned
Mar 20, 2008
Last updated
Jul 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Authorized official

Name
Corando Rios TrevinoNPI 1780606954
Title
Owner / Pharmacist in Charge
Phone
(361) 387-4721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

305 W Avenue a
Robstown, TX 78380-3209

Mailing address

305 W Avenue a
Robstown, TX 78380-3209
Phone (361) 387-4721

Other identifiers 1

IdentifierTypeStateIssuer
017238903MedicaidTX

National Provider Directory

National Provider Directory

Locations

305 W Avenue A
Robstown, TX 78380
Phone (361) 387-4721

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1033380746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W AVENUE A",
            "city": "ROBSTOWN",
            "state": "TX",
            "postal_code": "783803209",
            "telephone_number": "361-387-4721",
            "fax_number": "361-387-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W AVENUE A",
            "city": "ROBSTOWN",
            "state": "TX",
            "postal_code": "783803209",
            "telephone_number": "361-387-4721",
            "fax_number": "361-387-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORANDO RIOS TREVINO DBA MODERN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "CORANDO",
        "authorized_official_middle_name": "RIOS",
        "authorized_official_title_or_position": "OWNER / PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "361-387-4721"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017238903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Robstown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.

Verify at the official NPI Registry.