Active NPI
Pharmcare USA of El Paso, LLC
- Long Term Care Pharmacy
- El Paso, TX
National Provider Identifier
1114705993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Pharmcare USA of El Paso | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.