NPIMap

Organization Active NPI

Lifechek Dennison LLC

  • Community/Retail Pharmacy
  • San Juan, TX
National Provider Identifier
1376658310
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28439 Issued in TX
Legal business name
LIFECHEK DENNISON LLC
Doing business as
San Juan Pharmacy
Practice address
1205 N Raul Longoria Rd Ste F
San Juan, TX 78589-3721
Phone
(956) 782-6337
Fax
(956) 702-0697
NPI assigned
Aug 20, 2006
Organization subpart
Yes
Parent organization
LIFECHEK AUCHAN PARTNERS LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
Bruce Gingrich
Title
Managing Officer
Phone
(281) 232-3940

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28439 TX Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

1205 N Raul Longoria Rd Ste F
San Juan, TX 78589-3721

Mailing address

1205 N Raul Longoria Rd Ste F
San Juan, TX 78589-3721
Phone (956) 782-6337

Other identifiers 1

IdentifierTypeStateIssuer
2138611OtherPK

Other names 1

  • San Juan Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lifechek Denison LLC5 organizations share this tax ID, including this one
Part of
Lifechek Auchan Partners LTD

Other organizations with this tax ID 4

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

Locations

1205 N Raul Longoria Rd
Ste F
San Juan, TX 78589
Phone (956) 782-6337

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1376658310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N RAUL LONGORIA RD STE F",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893721",
            "telephone_number": "956-782-6337",
            "fax_number": "956-702-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N RAUL LONGORIA RD STE F",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893721",
            "telephone_number": "956-782-6337",
            "fax_number": "956-702-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECHEK DENNISON LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFECHEK AUCHAN PARTNERS LTD",
        "enumeration_date": "2006-08-20",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "GINGRICH",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "281-232-3940"
    },
    "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": "28439",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138611",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Juan Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.