NPIMap

Organization Active NPI

Spencer Brothers Pharmacy

  • Community/Retail Pharmacy
  • El Paso, TX
National Provider Identifier
1255514287
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
25571 Issued in TX
Legal business name
SPENCER BROTHERS PHARMACY
Doing business as
Spencer Brothers Pharmacy
Practice address
3022 Trawood Dr
El Paso, TX 79936-4329
Phone
(915) 886-3373
Fax
(915) 886-3328
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Authorized official

Name
Alfonso Sosa
Title
Pharmacist
Phone
(915) 886-3373

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 25571 TX Primary
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

3022 Trawood Dr
El Paso, TX 79936-4329

Mailing address

3022 Trawood Dr
El Paso, TX 79936-4329
Phone (915) 886-3373

Other identifiers 1

IdentifierTypeStateIssuer
4546531OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • SPENCER BROTHERS PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Spencer Brothers Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1255514287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 TRAWOOD DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364329",
            "telephone_number": "915-886-3373",
            "fax_number": "915-886-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 TRAWOOD DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364329",
            "telephone_number": "915-886-3373",
            "fax_number": "915-886-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER BROTHERS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "SOSA",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "915-886-3373"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25571",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4546531",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPENCER BROTHERS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.