NPIMap

Organization Active NPI

Los Ebanos Pharmacy North,LLC

  • Pharmacy
  • Brownsville, TX
National Provider Identifier
1275539678
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
19281 Issued in TX
Legal business name
LOS EBANOS PHARMACY NORTH,LLC
Practice address
1134 E. Los Ebanos Blvd.
Ste a
Brownsville, TX 78520-8797
Phone
(956) 542-8542
Fax
(956) 542-0044
NPI assigned
Jun 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
Mr. Robert J. De Lachica Sr., R.PH.
Title
Owner
Phone
(956) 572-1332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 19281 TX Primary

Addresses

Primary practice location

1134 E. Los Ebanos Blvd.
Ste a
Brownsville, TX 78520-8797

Mailing address

1134 E. Los Ebanos Blvd.
Ste a
Brownsville, TX 78520-8797
Phone (956) 542-8542

National Provider Directory

National Provider Directory
Tax ID family
Los Ebanos Pharmacy Northllc2 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.

Locations

1134 E Los Ebanos Blvd
Ste A
Brownsville, TX 78520
Phone (956) 542-8542

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1275539678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 E. LOS EBANOS BLVD.",
            "address_2": "STE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208797",
            "telephone_number": "956-542-8542",
            "fax_number": "956-542-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 E. LOS EBANOS BLVD.",
            "address_2": "STE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208797",
            "telephone_number": "956-542-8542",
            "fax_number": "956-542-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS EBANOS PHARMACY NORTH,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "DE LACHICA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-572-1332",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "19281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.