Individual provider Active NPI

William Carmelo Demarco, PHARMD

  • Pharmacist
  • El Paso, TX
National Provider Identifier
1326453549
Registry record updated Mar 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
54066 Issued in TX
Practice address
5200 Montana Ave
El Paso, TX 79903-4906
Phone
(915) 778-0680
Fax
(915) 778-0883
NPI assigned
Jun 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 54066 TX Primary

Addresses

Primary practice location

5200 Montana Ave
El Paso, TX 79903-4906

Mailing address

5200 Montana Ave
El Paso, TX 79903-4906
Phone (915) 778-0680

Other identifiers 4

IdentifierTypeStateIssuer
1801833363OtherEMPLOYER NPI
54066OtherTXTEXAS STATE BOARD OF PHARMACY
03438467OtherOHOHIO STATE BOARD OF PHARMACY
22627OtherTXEMPLOYER LICENSE NUMBER

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
54066TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Jun 21, 2022 Accepting new patients
Walgreen Co PastSince Nov 1, 2020 Accepting new patients
Albertsons LLC PastSince Apr 6, 2025 Accepting new patients
Albertsons LLC PastSince Apr 6, 2025 Accepting new patients
Walgreen Co PastSince Nov 1, 2020 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743292800000",
    "number": "1326453549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034906",
            "telephone_number": "915-778-0680",
            "fax_number": "915-778-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034906",
            "telephone_number": "915-778-0680",
            "fax_number": "915-778-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARCO",
        "first_name": "WILLIAM",
        "middle_name": "CARMELO",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-26",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "54066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER NPI",
            "identifier": "1801833363",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY",
            "identifier": "54066",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO STATE BOARD OF PHARMACY",
            "identifier": "03438467",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER LICENSE NUMBER",
            "identifier": "22627",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 30, 2025; 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.