Organization Active NPI

Rgvmeds Pharmacy LLC

  • Community/Retail Pharmacy
  • Edinburg, TX
National Provider Identifier
1346849643
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RGVMEDS PHARMACY LLC
Practice address
2606 E Richardson Rd
Edinburg, TX 78542
Phone
(214) 650-3918
NPI assigned
Oct 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Authorized official

Name
Dr. Benjamin Fombon, PHARMDNPI 1801231600
Title
Member
Phone
(956) 378-9191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2606 E Richardson Rd
Edinburg, TX 78542

Mailing address

2606 E Richardson Rd
Edinburg, TX 78542

Other names 1

  • RGVMEDS Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210614000552 TX Part B Supplier - Pharmacy 7416357405 Practice locations: Edinburg, TX

National Provider Directory

National Provider Directory

Locations

2606 E Richardson Rd
Edinburg, TX 78542
Phone (214) 650-3918

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": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1346849643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 E RICHARDSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 E RICHARDSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78542",
            "telephone_number": "214-650-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RGVMEDS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "FOMBON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "956-378-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RGVMEDS Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RGVMEDS Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.