Individual provider Active NPI

Gerardo Garay, PHARMD

  • Pharmacist
  • Rio Grande City, TX
National Provider Identifier
1164003505
Registry record updated Apr 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
61934 Issued in TX
Practice address
1623 E US Highway 83
Rio Grande City, TX 78582-4600
Phone
(956) 488-1660
NPI assigned
Apr 17, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 61934 TX Primary

Addresses

Primary practice location

1623 E US Highway 83
Rio Grande City, TX 78582-4600

Mailing address

50 Conquistador Rd
Rio Grande City, TX 78582-5660
Phone (956) 263-0301

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
61934TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1972797785 PastSince Apr 25, 2021 Accepting new patients
Green Raven Inc PastSince Apr 25, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618617600000",
    "number": "1164003505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CONQUISTADOR RD",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785825660",
            "telephone_number": "956-263-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 E US HIGHWAY 83",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785824600",
            "telephone_number": "956-488-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARAY",
        "first_name": "GERARDO",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-17",
        "last_updated": "2021-04-17",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "61934",
            "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 Apr 17, 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.

Verify at the official NPI Registry.