Organization Active NPI

Lifecare Reuss Pharmacy LLC

Doing business as Reuss Pharmacy

  • Pharmacy
  • Cuero, TX
National Provider Identifier
1164817540
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
LIFECARE REUSS PHARMACY LLC
Doing business as
Reuss Pharmacy
Practice address
515 N Esplanade St
Cuero, TX 77954-3603
Phone
(361) 275-3411
Fax
(361) 275-7383
NPI assigned
Apr 1, 2015
Last updated
Apr 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Authorized official

Name
Vijaya Kalidindi
Title
Managing Member
Phone
(505) 268-2030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

515 N Esplanade St
Cuero, TX 77954-3603

Mailing address

7267 Notre Dame Dr
Irving, TX 75063-3523
Phone (361) 275-3411

Other identifiers 2

IdentifierTypeStateIssuer
148469MedicaidTX
30017OtherTXPHARMACY LICENSE

Other names 1

  • Reuss Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1164817540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7267 NOTRE DAME DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633523",
            "telephone_number": "361-275-3411",
            "fax_number": "361-275-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N ESPLANADE ST",
            "city": "CUERO",
            "state": "TX",
            "postal_code": "779543603",
            "telephone_number": "361-275-3411",
            "fax_number": "361-275-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE REUSS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-01",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "KALIDINDI",
        "authorized_official_first_name": "VIJAYA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "505-268-2030"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148469",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "30017",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reuss Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reuss Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cuero, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.