NPIMap

Organization Active NPI

Pharmplex LTD III

Doing business as Riverside Pharmacy

  • Community/Retail Pharmacy
  • Penitas, TX
National Provider Identifier
1356397640
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
24404 Issued in TX
Legal business name
PHARMPLEX LTD III
Doing business as
Riverside Pharmacy
Practice address
2308 Expressway 83
Suite a
Penitas, TX 78576-8398
Phone
(956) 580-3500
Fax
(956) 580-3535
NPI assigned
May 26, 2006
Last updated
Apr 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Authorized official

Name
Omar Espericueta, PHARMDNPI 1104872498
Title
Owner and Pic
Phone
(956) 580-3500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Nursing Facility Supplies (DME) 332BN1400X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 24404 TX Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

2308 Expressway 83
Suite a
Penitas, TX 78576-8398

Mailing address

2308 Expressway 83
Suite a
Penitas, TX 78576-8398
Phone (956) 580-3500

Other names 1

  • Riverside Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1356397640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 EXPRESSWAY 83",
            "address_2": "SUITE A",
            "city": "PENITAS",
            "state": "TX",
            "postal_code": "785768398",
            "telephone_number": "956-580-3500",
            "fax_number": "956-580-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 EXPRESSWAY 83",
            "address_2": "SUITE A",
            "city": "PENITAS",
            "state": "TX",
            "postal_code": "785768398",
            "telephone_number": "956-580-3500",
            "fax_number": "956-580-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMPLEX LTD III",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "ESPERICUETA",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER AND PIC",
        "authorized_official_telephone_number": "956-580-3500",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "24404",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Penitas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.