Trans Pecos Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28580 Issued in TX

Legal business name

TRANS PECOS PHARMACY LLC

Doing business as

Rediger's Pharmacy

Practice address

724 S Eddy St
Pecos, TX 79772-3727

Phone

(432) 445-4916

Fax

(432) 445-6085

NPI assigned

Jun 19, 2013

Last updated

Jul 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steve Valenzuela

Title

Member

Phone

(432) 445-4916

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rediger's Pharmacy Doing business as

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1174962534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 S EDDY ST",
            "city": "PECOS",
            "state": "TX",
            "postal_code": "797723727",
            "telephone_number": "432-445-4916",
            "fax_number": "432-445-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 S EDDY ST",
            "city": "PECOS",
            "state": "TX",
            "postal_code": "797723727",
            "telephone_number": "432-445-4916",
            "fax_number": "432-445-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANS PECOS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "VALENZUELA",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "432-445-4916"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140863",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rediger's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Lucia Shores, RPH
• Janet Sibley, DIETITIAN
• Adam D Sterlace, DO
• Martina Breann Swinger, DO
• James M Tarin, MD
• Trinity-Fpacp Pecos LLC (Focused Care at Pecos)
• United Supermarkets LLC (United Pharmacy #0663)
• Kristen Suzanne Upchurch, FNP
• Stephen Ray Valenzuela
• Charles Raymond Vaughn

• Community/Retail Pharmacy in Pecos, TX
• Providers in Pecos, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.