R & R Starr Amigos LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

R & R STARR AMIGOS LLC

Doing business as

Popular Pharmacy # 3

Practice address

2849 E Grant St
Roma, TX 78584-8914

Phone

(973) 885-0060

NPI assigned

Jan 30, 2023

Last updated

Jan 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Anil Gottimukkala

Title

Pharmacist in Charge

Phone

(973) 885-0060

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Popular Pharmacy # 3 Doing business as

Tax ID family

Popular Pharmacy 32 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.

• R & R Starr Amigos LLC

  dba Popular Pharmacy 3

  • Long Term Care Pharmacy
  • Roma, TX
  • NPI 1326870635
  NPD tax ID

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.

• Cijo C James, R.PH

  • Pharmacist
  • Rio Grande City, TX
  • NPI 1669756656
  NPD

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1376259713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 PLANTATION GROVE BLVD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785722847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2849 E GRANT ST",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "785848914",
            "telephone_number": "973-885-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R & R STARR AMIGOS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-29",
        "status": "A",
        "authorized_official_last_name": "GOTTIMUKKALA",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "973-885-0060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PHARMACY LICENSE",
            "identifier": "34593",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Popular Pharmacy # 3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leobardo Perez, COTA
• Performance Therapeutics - Roma PLLC
• Performance Therapeutics - Roma, P.L.L.C.
• Timothy K. Peterson, PA-C
• R & R Starr Amigos LLC (Popular Pharmacy 3)
• Desi Ramos
• Raymond P Mussett MD PLLC (Roma Medical Clinic)
• Raymond P Mussett MD PLLC (Roma Medical Clinic)
• Rubyd Arianna Reyna, RN BSN
• Rio Rehab

• Community/Retail Pharmacy in Roma, TX
• Providers in Roma, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.