Organization Active NPI

Valleywide Pharmacy and DME Inc

  • Community/Retail Pharmacy
  • Brownsville, TX
National Provider Identifier
1356750087
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
31880 Issued in TX
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

Updated by the provider on Sep 30, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.