Organization Active NPI

K V Early Inc

Doing business as Cantu Southmost Pharmacy

  • Community/Retail Pharmacy
  • Brownsville, TX
National Provider Identifier
1346436227
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
19714 Issued in TX
Legal business name
K V EARLY INC
Doing business as
Cantu Southmost Pharmacy
Practice address
3150 International Blvd
Brownsville, TX 78521-3214
Phone
(956) 546-7020
Fax
(956) 544-5539
NPI assigned
Sep 24, 2007
Last updated
Jul 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Erasmo Cantu
Title
Owner
Phone
(956) 546-7020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 19714 TX Primary

Addresses

Primary practice location

3150 International Blvd
Brownsville, TX 78521-3214

Mailing address

14 Galleria Dr
San Antonio, TX 78257-1216
Phone (956) 346-1008

Other identifiers 2

IdentifierTypeStateIssuer
144903MedicaidTX
2100793OtherPK

Other names 1

  • CANTU SOUTHMOST PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

3150 International Blvd
Brownsville, TX 78521
Phone (956) 545-4876

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1346436227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 GALLERIA DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571216",
            "telephone_number": "956-346-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 INTERNATIONAL BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213214",
            "telephone_number": "956-546-7020",
            "fax_number": "956-544-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K V EARLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "CANTU",
        "authorized_official_first_name": "ERASMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-546-7020"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "19714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144903",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2100793",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANTU SOUTHMOST PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.