Active NPI
Fred'S Pharmacy
- Community/Retail Pharmacy
- Rio Grande City, TX
National Provider Identifier
1184895724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 15025
- Legal business name
- FRED'S PHARMACY
- Practice address
- 2790 Pharmacy Rd Ste a
Rio Grande City, TX 78582-6547 - Phone
- (956) 487-2711
- Fax
- (956) 487-6399
- NPI assigned
- Mar 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Frank R Garcia, R.PH.
- Title
- Pharmacist
- Phone
- (956) 487-2711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 15025 | TX | Primary |
Addresses
Primary practice location
2790 Pharmacy Rd Ste a
Rio Grande City, TX 78582-6547
Mailing address
2790 Pharmacy Rd Ste a
Rio Grande City, TX 78582-6547
Phone (956) 487-2711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143846 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- Fred'S Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Pharr, TX
- NPI 1053326652
Locations
2790 Pharmacy Rd
Ste A
Rio Grande City, TX 78582
Phone (956) 487-2711
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Rio Grande City, TX
- NPI 1073101069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208822400000",
"number": "1184895724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2790 PHARMACY RD STE A",
"city": "RIO GRANDE CITY",
"state": "TX",
"postal_code": "785826547",
"telephone_number": "956-487-2711",
"fax_number": "956-487-6399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2790 PHARMACY RD STE A",
"city": "RIO GRANDE CITY",
"state": "TX",
"postal_code": "785826547",
"telephone_number": "956-487-2711",
"fax_number": "956-487-6399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRED'S PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-21",
"last_updated": "2008-04-22",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "956-487-2711",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "15025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143846",
"state": "TX"
}
],
"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 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.