NPIMap

Organization Active NPI

K V Early Inc

  • Community/Retail Pharmacy
  • Brownsville, TX
National Provider Identifier
1295841849
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
19669 Issued in TX
Legal business name
K V EARLY INC
Practice address
1080 E Los Ebanos Blvd
Brownsville, TX 78520-9988
Phone
(956) 544-6666
Fax
(956) 544-5539
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Erasmo Cantu
Title
Owner
Phone
(956) 544-6666

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 19669 TX Primary

Addresses

Primary practice location

1080 E Los Ebanos Blvd
Brownsville, TX 78520-9988

Mailing address

14 Galleria Dr
San Antonio, TX 78257-1216
Phone (956) 346-1008

Other identifiers 2

IdentifierTypeStateIssuer
144901MedicaidTX
2097935OtherPK

Other names 1

  • CANTU WESTSIDE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cantu Westside Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1295841849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 GALLERIA DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571216",
            "telephone_number": "956-346-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 E LOS EBANOS BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785209988",
            "telephone_number": "956-544-6666",
            "fax_number": "956-544-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K V EARLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "CANTU",
        "authorized_official_first_name": "ERASMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-544-6666"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "19669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2097935",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANTU WESTSIDE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 10, 2014; 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.