Active NPI
Valleywide Pharmacy and DME Inc
- Community/Retail Pharmacy
- Brownsville, TX
National Provider Identifier
1356750087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 31880
- Legal business name
- VALLEYWIDE PHARMACY AND DME INC
- Practice address
- 680 Paredes Line Rd
Suite B
Brownsville, TX 78521 - Phone
- (956) 372-1405
- NPI assigned
- Aug 6, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abayomi Anthony George
- Title
- Manager
- Phone
- (956) 423-1426
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | TX | ||
| Community/Retail Pharmacy | 3336C0003X | 31880 | TX | Primary |
Addresses
Primary practice location
680 Paredes Line Rd
Suite B
Brownsville, TX 78521
Mailing address
680 Paredes Line Rd
Suite B
Brownsville, TX 78521-2482
Phone (956) 372-1405
National Provider Directory
National Provider DirectoryLocations
620 Paredes Line Rd
Ste E
Brownsville, TX 78521
Phone (956) 372-1405
680 Paredes Line Rd
Ste B
Brownsville, TX 78521
Phone (956) 372-1405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601424000000",
"number": "1356750087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 PAREDES LINE RD",
"address_2": "SUITE B",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785212482",
"telephone_number": "956-372-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 PAREDES LINE RD",
"address_2": "SUITE B",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "78521",
"telephone_number": "956-372-1405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEYWIDE PHARMACY AND DME INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-06",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A",
"authorized_official_last_name": "GEORGE",
"authorized_official_first_name": "ABAYOMI",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "956-423-1426"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "31880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.