Active NPI
Guerra Pharmacy Inc
- Community/Retail Pharmacy
- Mission, TX
National Provider Identifier
1346429461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 21848
- Legal business name
- GUERRA PHARMACY INC
- Practice address
- 1618 N Conway Ave
Mission, TX 78572-4004 - Phone
- (956) 584-9828
- Fax
- (956) 584-9458
- NPI assigned
- Oct 25, 2007
- 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
- Arolsa Mendiola
- Title
- Owner
- Phone
- (956) 584-9828
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 21848 | TX | Primary |
Addresses
Primary practice location
1618 N Conway Ave
Mission, TX 78572-4004
Mailing address
1618 N Conway Ave
Mission, TX 78572-4004
Phone (956) 584-9828
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149855201 | Medicaid | TX | |
| 4505256 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 149855203 | Medicaid | TX |
Other names 1
- ABC PHARMACY
National Provider Directory
National Provider DirectoryLocations
1618 N Conway Ave
Mission, TX 78572
Phone (956) 584-9828
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Mission, TX
- NPI 1124104823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269302400000",
"number": "1346429461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1618 N CONWAY AVE",
"city": "MISSION",
"state": "TX",
"postal_code": "785724004",
"telephone_number": "956-584-9828",
"fax_number": "956-584-9458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1618 N CONWAY AVE",
"city": "MISSION",
"state": "TX",
"postal_code": "785724004",
"telephone_number": "956-584-9828",
"fax_number": "956-584-9458"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUERRA PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-25",
"last_updated": "2010-03-23",
"status": "A",
"authorized_official_last_name": "MENDIOLA",
"authorized_official_first_name": "AROLSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "956-584-9828"
},
"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": "21848",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149855201",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "4505256",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149855203",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ABC PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mission, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.