Fredsrx LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

27105 Issued in TX

Legal business name

FREDSRX LLC

Doing business as

Fred's Pharmacy #614

Practice address

1201 Calle Milagros
Suite B
Brownsville, TX 78526

Phone

(956) 542-4003

Fax

(956) 542-4004

NPI assigned

Sep 13, 2010

Organization subpart

No

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

Authorized official

Name

Santos Gonzalez

Title

Owner / Corp. President

Phone

(956) 542-4003

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Fred's Pharmacy #614 Doing business as

Locations

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1184931040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720516",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785040516",
            "telephone_number": "956-542-4003",
            "fax_number": "956-542-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 CALLE MILAGROS",
            "address_2": "SUITE B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "78526",
            "telephone_number": "956-542-4003",
            "fax_number": "956-542-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDSRX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "SANTOS",
        "authorized_official_title_or_position": "OWNER / CORP. PRESIDENT",
        "authorized_official_telephone_number": "956-542-4003"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27105",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5901310",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fred's Pharmacy #614",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Estrella Fraire
• Hannah Francis, BCBA
• Francisco Javier del Castillo, MD PA (Los Ebanos Women's Clinic)
• Jacob Moke Frankinburger, RN,MSN
• Paula Jo Fraser, RPH
• Violeta Frias, PT
• Friends Adult Day Care
• Frontier Direct Care Brownsville South
• Kendall McMullen Frost, PHARM.D.
• Susan Kay Fuller, LCSW

• Community/Retail Pharmacy in Brownsville, TX
• Providers in Brownsville, 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 Oct 22, 2010; 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.