Organization Active NPI

Garza Pharmacy RX, LLC

Doing business as Medicine Shoppe

  • Community/Retail Pharmacy
  • San Benito, TX
National Provider Identifier
1255443164
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GARZA PHARMACY RX, LLC
Doing business as
Medicine Shoppe
The Medicine Shoppe Pharmacy
Practice address
205 W US Highway 77
San Benito, TX 78586-5143
Phone
(956) 399-1411
Fax
(956) 399-2401
NPI assigned
Aug 31, 2006
Last updated
Dec 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Dr. Thomas Amadeo Garza, PHARMDNPI 1750630455
Title
RPH
Phone
(956) 399-1411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Pharmacy 333600000X 04776 TX
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

205 W US Highway 77
San Benito, TX 78586-5143

Mailing address

205 W US Highway 77
San Benito, TX 78586-5143
Phone (956) 399-1411

Other identifiers 4

IdentifierTypeStateIssuer
141674MedicaidTX
1255443164OtherTXNPI
4551784OtherOTHER ID NUMBER-COMMERCIAL NUMBER
1710428MedicaidTX

Other names 2

  • Medicine Shoppe Doing business as
  • The Medicine Shoppe Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220309003037 TX Part B Supplier - Pharmacy 6204221245 Practice locations: San Benito, TX

National Provider Directory

National Provider Directory

Locations

205 W US Highway 77
San Benito, TX 78586
Phone (956) 399-1411

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1255443164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W US HIGHWAY 77",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785865143",
            "telephone_number": "956-399-1411",
            "fax_number": "956-399-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W US HIGHWAY 77",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785865143",
            "telephone_number": "956-399-1411",
            "fax_number": "956-399-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARZA PHARMACY RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "AMADEO",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "956-399-1411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "04776",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141674",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255443164",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4551784",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710428",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Medicine Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Benito, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.