Organization Active NPI

Med Time Pharmacy Inc

  • Community/Retail Pharmacy
  • El Paso, TX
National Provider Identifier
1306027388
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
25793 Issued in TX
Legal business name
MED TIME PHARMACY INC
Practice address
641 N Resler Dr
Ste 306 07
El Paso, TX 79912-2384
Phone
(915) 584-6337
Fax
(915) 584-6340
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Authorized official

Name
Lisa Espinoza, RPHNPI 1437752128
Title
President
Phone
(915) 584-6337

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 25793 TX Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

641 N Resler Dr
Ste 306 07
El Paso, TX 79912-2384

Mailing address

641 N Resler Dr
Ste 306 07
El Paso, TX 79912-2384
Phone (915) 584-6337

Other identifiers 1

IdentifierTypeStateIssuer
2100482OtherPK

Other names 1

  • MED TIME PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120724000925 TX Part B Supplier - Mass Immunization (Roster Biller Only) 9830355510 Practice locations: El Paso, TX

National Provider Directory

National Provider Directory
Tax ID family
Med Time 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.

Locations

641 N Resler Dr
Ste 306307
El Paso, TX 79912
Phone (915) 584-6337

641 N Resler Dr
Ste 306
El Paso, TX 79912
Phone (915) 584-6337

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1306027388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 N RESLER DR",
            "address_2": "STE 306 07",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799122384",
            "telephone_number": "915-584-6337",
            "fax_number": "915-584-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 N RESLER DR",
            "address_2": "STE 306 07",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799122384",
            "telephone_number": "915-584-6337",
            "fax_number": "915-584-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED TIME PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "ESPINOZA",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-584-6337",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25793",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2100482",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MED TIME 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 Sep 27, 2016; 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.