Organization Active NPI

Medcare Pharmacy LLC

Doing business as Medcare Plus Pharmacy

  • Community/Retail Pharmacy
  • Elmendorf, TX
National Provider Identifier
1184265498
Registry record updated Jul 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEDCARE PHARMACY LLC
Doing business as
Medcare Plus Pharmacy
Practice address
3712 New Mathis Rd Ste 1
Elmendorf, TX 78112-6298
Phone
(210) 794-0099
NPI assigned
Oct 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2020

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

Authorized official

Name
Mrs. Uma Talluri
Title
Officer
Phone
(210) 794-0099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3712 New Mathis Rd Ste 1
Elmendorf, TX 78112-6298

Mailing address

PO Box 765
Coppell, TX 75019-0710

Other names 1

  • Medcare Plus Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3712 New Mathis Rd
Ste 1
Elmendorf, TX 78112
Phone (210) 794-0099

3926 Avenue H
Ste 2
Rosenberg, TX 77471
Phone (832) 945-5611

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594425600000",
    "number": "1184265498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 765",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750190710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 NEW MATHIS RD STE 1",
            "city": "ELMENDORF",
            "state": "TX",
            "postal_code": "781126298",
            "telephone_number": "210-794-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2020-07-11",
        "certification_date": "2020-07-11",
        "status": "A",
        "authorized_official_last_name": "TALLURI",
        "authorized_official_first_name": "UMA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "210-794-0099",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medcare Plus Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medcare Plus Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmendorf, TX

Sources for this page

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