Active NPI
RGV Doctors Pharmacy
Doing business as junior's pharmacy
- Pharmacy
- San Juan, TX
National Provider Identifier
1275855025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 26793
- Legal business name
- RGV DOCTORS PHARMACY
- Doing business as
- junior's pharmacy
- Practice address
- 108 E FM 495
San Juan, TX 78589-3710 - Phone
- (956) 787-1452
- Fax
- (956) 213-8135
- NPI assigned
- Feb 22, 2010
- Last updated
- Feb 22, 2010
- 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
- Leonel Guerrero
- Title
- Pharmacist
- Phone
- (956) 787-1452
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 26793 | TX | Primary |
| Community/Retail Pharmacy | 3336C0003X | NU |
Addresses
Primary practice location
108 E FM 495
San Juan, TX 78589-3710
Mailing address
108 E FM 495
San Juan, TX 78589-3710
Phone (956) 787-1452
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4554920 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 145916 | Medicaid | TX |
Other names 1
- junior's pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- RGV Doctors Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
Locations
108 E FM 495
San Juan, TX 78589
Phone (956) 787-1452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266796800000",
"number": "1275855025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 E FM 495",
"city": "SAN JUAN",
"state": "TX",
"postal_code": "785893710",
"telephone_number": "956-787-1452",
"fax_number": "956-213-8135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 E FM 495",
"city": "SAN JUAN",
"state": "TX",
"postal_code": "785893710",
"telephone_number": "956-787-1452",
"fax_number": "956-213-8135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RGV DOCTORS PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-22",
"last_updated": "2010-02-22",
"status": "A",
"authorized_official_last_name": "GUERRERO",
"authorized_official_first_name": "LEONEL",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "956-787-1452"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TX",
"license": "26793",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "4554920",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145916",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "junior's pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Juan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.