Yodorincmissionplazapharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

148627 Issued in TX

Legal business name

YODORINCMISSIONPLAZAPHARMACY

Doing business as

Mission Plaza Pharmacy
Yodor Inc.Mission Plaza Pharmacy

Practice address

906 S Bryan Rd Ste 101a
Mission, TX 78572-6605

Phone

(956) 581-8833

Fax

(956) 581-0364

NPI assigned

Apr 17, 2006

Last updated

Jun 26, 2024By 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

Mrs. Dora G Espinoza

Title

VP, Secretary, Pharmacist

Phone

(956) 581-8833

Specialties & licenses 3

Addresses

Other identifiers 8

Other names 3

• MISSION PLAZA PHARMACY Doing business as
• YODOR INC.MISSION PLAZA PHARMACY Doing business as
• YODOR INC. MISSION PLAZA PHARMACY Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Mission Plaza Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Yodorincmissionplazapharmacy

  • Pharmacy
  • Mission, TX
  • NPI 1093718025
  NPD tax ID

Locations

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1184688921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 HERITAGE LN",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785724529",
            "telephone_number": "956-581-8833",
            "fax_number": "956-581-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 S BRYAN RD STE 101A",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726605",
            "telephone_number": "956-581-8833",
            "fax_number": "956-581-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YODORINCMISSIONPLAZAPHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "ESPINOZA",
        "authorized_official_first_name": "DORA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VP, SECRETARY, PHARMACIST",
        "authorized_official_telephone_number": "956-581-8833",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "15042",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "148627",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "148627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "183500000X",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013987502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "0818070001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY DME",
            "identifier": "332B00000X",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY PHARMACY",
            "identifier": "333600000X",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4581547",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013987503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148627",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MISSION PLAZA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MISSION PLAZA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "YODOR INC.MISSION PLAZA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "YODOR INC. MISSION PLAZA PHARMACY",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Krystal Lee Ybarra
• Yvette Ybarra, ASLP
• Yc Affordable Service Corp
• Henry Destura Yee, NP
• Yodorincmissionplazapharmacy
• Kristin Leigh York, FNP
• Gina J Young, O.T.A
• Richard Alan Young, D.D.S.
• Yutang Su MD PLLC (Valley Vitreoretinal Consultants)
• Erica Lee Zamora, SLP-ASSISTANT

• Pharmacy in Mission, TX
• Providers in Mission, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.