Active NPI
Jose Rene Cantu
- Oxygen Equipment & Supplies (DME)
- Edinburg, TX
National Provider Identifier
1235341876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- JOSE RENE CANTU
- Practice address
- 504 S Closner Blvd
Edinburg, TX 78539-4660 - Phone
- (956) 383-6506
- Fax
- (956) 383-4123
- NPI assigned
- May 4, 2007
- 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
- Jose Rene Cantu
- Title
- Pharmacist
- Phone
- (956) 383-6506
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | TX | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary |
Addresses
Primary practice location
504 S Closner Blvd
Edinburg, TX 78539-4660
Mailing address
504 S Closner Blvd
Edinburg, TX 78539-4660
Phone (956) 383-6506
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 091640505 | Medicaid | TX | |
| 091640501 | Medicaid | TX |
Other names 1
- Cantu's Pharmacy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307923200000",
"number": "1235341876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 S CLOSNER BLVD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785394660",
"telephone_number": "956-383-6506",
"fax_number": "956-383-4123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 S CLOSNER BLVD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785394660",
"telephone_number": "956-383-6506",
"fax_number": "956-383-4123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSE RENE CANTU",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2011-06-13",
"status": "A",
"authorized_official_last_name": "CANTU",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "RENE",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "956-383-6506"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "091640505",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "091640501",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cantu's Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.