Organization Active NPI

Canales Medical Services LLC

Doing business as Fred's Pharmacy

  • Community/Retail Pharmacy
  • Rio Grande City, TX
National Provider Identifier
1366833634
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
29856 Issued in TX
Legal business name
CANALES MEDICAL SERVICES LLC
Doing business as
Fred's Pharmacy
Practice address
2790 Pharmacy Rd
Ste a
Rio Grande City, TX 78582-6546
Phone
(956) 487-2711
Fax
(956) 487-6399
NPI assigned
Feb 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Marlo Canales, BSNPI 1073101069
Title
Owner/Pic/Ao
Phone
(956) 487-2711

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 29856 TX Primary

Addresses

Primary practice location

2790 Pharmacy Rd
Ste a
Rio Grande City, TX 78582-6546

Mailing address

2790 Pharmacy Rd
Ste a
Rio Grande City, TX 78582-6546
Phone (956) 487-2711

Other identifiers 2

IdentifierTypeStateIssuer
148240MedicaidTX
2151598OtherPK

Other names 1

  • FRED'S 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.

NPI Registry JSON

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1366833634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 PHARMACY RD",
            "address_2": "STE A",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785826546",
            "telephone_number": "956-487-2711",
            "fax_number": "956-487-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 PHARMACY RD",
            "address_2": "STE A",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785826546",
            "telephone_number": "956-487-2711",
            "fax_number": "956-487-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANALES MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "CANALES",
        "authorized_official_first_name": "MARLO",
        "authorized_official_title_or_position": "OWNER/PIC/AO",
        "authorized_official_telephone_number": "956-487-2711",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148240",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151598",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRED'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rio Grande City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.