Organization Active NPI

Muniz Rio Grande Pharmacy LLC

  • Durable Medical Equipment & Medical Supplies
  • Harlingen, TX
National Provider Identifier
1356667968
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MUNIZ RIO GRANDE PHARMACY LLC
Practice address
1117 S Commerce St
Harlingen, TX 78550-7706
Phone
(956) 423-1753
Fax
(956) 423-2955
NPI assigned
Apr 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Authorized official

Name
Jose Roberto Muniz, RPH
Title
Owner
Phone
(956) 423-1753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1117 S Commerce St
Harlingen, TX 78550-7706

Mailing address

1117 S Commerce St
Harlingen, TX 78550-7706
Phone (956) 423-1753

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101216000783 TX DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 1759579832 Practice locations: Harlingen, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Muniz Rio Grande Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1117 S Commerce St
Harlingen, TX 78550
Phone (956) 423-1753

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1356667968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 S COMMERCE ST",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507706",
            "telephone_number": "956-423-1753",
            "fax_number": "956-423-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 S COMMERCE ST",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507706",
            "telephone_number": "956-423-1753",
            "fax_number": "956-423-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNIZ RIO GRANDE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ROBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-423-1753",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.