Organization Active NPI

Pharmcare USA of El Paso, LLC

  • Long Term Care Pharmacy
  • El Paso, TX
National Provider Identifier
1114705993
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PHARMCARE USA OF EL PASO, LLC
Practice address
10350 Montana Ave Ste a
El Paso, TX 79925-1602
Phone
(915) 455-1167
Fax
(915) 845-9100
NPI assigned
Sep 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Barney Kent Abbott
Title
Ceo
Phone
(405) 204-9783

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

10350 Montana Ave Ste a
El Paso, TX 79925-1602

Mailing address

PO Box 365
Hydro, OK 73048-0365
Phone (866) 219-3619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240508001178 TX DME Supplier - Pharmacy 5496196487 Practice locations: El Paso, TX
O20250227000214 TX Part B Supplier - Mass Immunization (Roster Biller Only) 5496196487 Practice locations: El Paso, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pharmcare USA of El Paso10350 Montana Ave, El Paso, TX 79925-1602(915) 455-1167 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|External Infusion Pumps and/or Supplies|Insulin Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral N… Does not accept assignmentParticipating since May 2, 2024

National Provider Directory

National Provider Directory

Locations

10350 Montana Ave
Ste A
El Paso, TX 79925
Phone (915) 455-1167

NPI Registry JSON

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1114705993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "HYDRO",
            "state": "OK",
            "postal_code": "730480365",
            "telephone_number": "866-219-3619",
            "fax_number": "405-246-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 MONTANA AVE STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251602",
            "telephone_number": "915-455-1167",
            "fax_number": "915-845-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMCARE USA OF EL PASO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "BARNEY",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-204-9783"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.