Individual provider Active NPI

Elisa Lujano, RPH

  • Pharmacist
  • Rio Grande City, TX
National Provider Identifier
1104523760
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
29376 Issued in TX
Practice address
5326 E US Highway 83 Ste A5
Rio Grande City, TX 78582-9409
Phone
(956) 317-1112
Fax
(956) 317-1113
NPI assigned
Feb 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 29376 TX Primary

Addresses

Primary practice location

5326 E US Highway 83 Ste A5
Rio Grande City, TX 78582-9409

Mailing address

PO Box 2825
Roma, TX 78584-2825
Phone (956) 802-6096

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

LicenseStateTypeSpecialty
29376TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1104523760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2825",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "785842825",
            "telephone_number": "956-802-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5326 E US HIGHWAY 83 STE A5",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785829409",
            "telephone_number": "956-317-1112",
            "fax_number": "956-317-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUJANO",
        "first_name": "ELISA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "29376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 13, 2023; 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.