Organization Active NPI

Guerra Pharmacy Inc

  • Community/Retail Pharmacy
  • Mission, TX
National Provider Identifier
1346429461
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
21848 Issued in TX
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

Updated by the provider on Mar 23, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
149855201MedicaidTX
4505256OtherNCPDP PROVIDER IDENTIFICATION NUMBER
149855203MedicaidTX

Other names 1

  • ABC PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.