Organization Active NPI

San Raphel Pharmacy

  • Community/Retail Pharmacy
  • Palm View, TX
National Provider Identifier
1124060579
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SAN RAPHEL PHARMACY
Practice address
1337 East Palma Vista Drive Suite B
Palm View, TX 78539
Phone
(956) 514-0955
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Marco Carranza
Title
President
Phone
(956) 463-3001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 24396 TX
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1337 East Palma Vista Drive Suite B
Palm View, TX 78539

Mailing address

365 N Missouri Ave
Mercedes, TX 78570-2657

Other identifiers 1

IdentifierTypeStateIssuer
4540022OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1124060579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 N MISSOURI AVE",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785702657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 EAST PALMA VISTA DRIVE SUITE B",
            "city": "PALM VIEW",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-514-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN RAPHEL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CARRANZA",
        "authorized_official_first_name": "MARCO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-463-3001"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "24396",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4540022",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.