Individual provider Active NPI

Andrew Prado, PHARMD

  • Pharmacist
  • Odessa, TX
National Provider Identifier
1235802950
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
53201 Issued in TX
Practice address
2745 N Grandview Ave
Odessa, TX 79762-6992
Phone
(432) 366-2868
Fax
(432) 366-6616
NPI assigned
Jul 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 53201 TX Primary

Addresses

Primary practice location

2745 N Grandview Ave
Odessa, TX 79762-6992

Mailing address

2745 N Grandview Ave
Odessa, TX 79762-6992
Phone (432) 366-2868

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL andrew@tcdpharmacy.com Health Information Exchange (HIE) Town & Country Drug, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
53201TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Town & Country Drug, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Town & Country Drug, Inc. CurrentSince Jun 9, 2024 Accepting new patients

Locations

2745 N Grandview Ave
Odessa, TX 79762
Phone (432) 366-2868

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1235802950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 N GRANDVIEW AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797626992",
            "telephone_number": "432-366-2868",
            "fax_number": "432-366-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 N GRANDVIEW AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797626992",
            "telephone_number": "432-366-2868",
            "fax_number": "432-366-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADO",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "53201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "andrew@tcdpharmacy.com",
            "affiliation": "Y",
            "endpointDescription": "2745 N Grandview Ave, Odessa TX 79762",
            "affiliationName": "Town & Country Drug, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2745 N Grandview Ave",
            "city": "Odessa",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797626992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.