Active NPI
Bryan Rodriguez
- Pharmacist
- Odessa, TX
National Provider Identifier
1306564794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 71014
- Practice address
- 2745 N Grandview Ave
Odessa, TX 79762-6992 - Phone
- (432) 366-2868
- NPI assigned
- Aug 22, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 71014 | TX | Primary |
Addresses
Primary practice location
2745 N Grandview Ave
Odessa, TX 79762-6992
Mailing address
9962 Gideon Cir TRLR 4
El Paso, TX 79927-4307
Phone (915) 474-2443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71014 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Town & Country Drug, Inc. | Current | Accepting new patients | |
| Town & Country Drug, Inc. | Past | Accepting new patients |
Locations
2745 N Grandview Ave
Odessa, TX 79762
Phone (432) 366-2868
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Odessa, TX
- NPI 1245071075
-
- Pharmacy
- Odessa, TX
- NPI 1801880356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1306564794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9962 GIDEON CIR TRLR 4",
"city": "EL PASO",
"state": "TX",
"postal_code": "799274307",
"telephone_number": "915-474-2443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2745 N GRANDVIEW AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797626992",
"telephone_number": "432-366-2868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "BRYAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-22",
"last_updated": "2022-08-22",
"certification_date": "2022-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "71014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.