Organization Active NPI

S. Mian, LLC

  • Community/Retail Pharmacy
  • McAllen, TX
National Provider Identifier
1033516588
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
29713 Issued in TX
Legal business name
S. MIAN, LLC
Doing business as
Daniel's Pharmacy #1
Practice address
4115 Pecan Blvd Ste C
McAllen, TX 78501-3695
Phone
(956) 627-4128
Fax
(956) 627-4416
NPI assigned
Nov 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Authorized official

Name
Dr. Jose A Vela, PHARMD
Title
Pharmacist
Phone
(956) 583-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 29713 TX Primary

Addresses

Primary practice location

4115 Pecan Blvd Ste C
McAllen, TX 78501-3695

Mailing address

4115 Pecan Blvd Ste C
McAllen, TX 78501-3695
Phone (956) 627-4128

Other identifiers 1

IdentifierTypeStateIssuer
148424MedicaidTX

Other names 1

  • Daniel's Pharmacy #1 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201028000922 TX Part B Supplier - Pharmacy 8426369703 Practice locations: McAllen, TX

National Provider Directory

National Provider Directory

Locations

8213 Homestead Rd
Ste D
Houston, TX 77028
Phone (281) 780-2328

NPI Registry JSON

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

{
    "created_epoch": "1417132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1033516588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 PECAN BLVD STE C",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785013695",
            "telephone_number": "956-627-4128",
            "fax_number": "956-627-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 PECAN BLVD STE C",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785013695",
            "telephone_number": "956-627-4128",
            "fax_number": "956-627-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. MIAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-28",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "VELA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "956-583-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148424",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniel's Pharmacy #1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.