Active NPI
Marlo Canales, RPH
- Pharmacist
- Rio Grande City, TX
National Provider Identifier
1073101069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 39074
- Practice address
- 2790 Pharmacy Rd Ste a
Rio Grande City, TX 78582-6547 - Phone
- (956) 487-2711
- Fax
- (956) 487-2711
- NPI assigned
- Jan 5, 2021
- Last updated
- Jan 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 39074 | TX | Primary |
Addresses
Primary practice location
2790 Pharmacy Rd Ste a
Rio Grande City, TX 78582-6547
Mailing address
2510 Wisteria St
Rio Grande City, TX 78582-6903
Phone (956) 500-3444
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39074 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Pharmacy LLC | Current | Accepting new patients | |
| Fred's Pharmacy | Past | Accepting new patients | |
| Canales Medical Services LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Rio Grande City, TX
- NPI 1750965786
-
dba Fred's Pharmacy
- Community/Retail Pharmacy
- Rio Grande City, TX
- NPI 1366833634
-
- Community/Retail Pharmacy
- Rio Grande City, TX
- NPI 1184895724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1073101069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 WISTERIA ST",
"city": "RIO GRANDE CITY",
"state": "TX",
"postal_code": "785826903",
"telephone_number": "956-500-3444",
"fax_number": "956-487-6399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2790 PHARMACY RD STE A",
"city": "RIO GRANDE CITY",
"state": "TX",
"postal_code": "785826547",
"telephone_number": "956-487-2711",
"fax_number": "956-487-2711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANALES",
"first_name": "MARLO",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-05",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "39074",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "2790 Pharmacy Rd Ste A",
"city": "Rio Grande City",
"state": "TX",
"country_code": "US",
"postal_code": "785826547",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rio Grande City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.