Organization Active NPI

Medirx II LTD

Doing business as Medinas Pharmacy

  • Community/Retail Pharmacy
  • Alamo, TX
National Provider Identifier
1376724179
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
25808 Issued in TX
Legal business name
MEDIRX II LTD
Doing business as
Medinas Pharmacy
Practice address
1044 Acacia Ave
Alamo, TX 78516-2401
Phone
(956) 702-9009
Fax
(956) 702-0246
NPI assigned
Nov 20, 2007
Last updated
Feb 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Authorized official

Name
Marcelino Medina, RPH
Title
President
Phone
(956) 702-9009

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 25808 TX Primary

Addresses

Primary practice location

1044 Acacia Ave
Alamo, TX 78516-2401

Mailing address

1044 Acacia Ave
Alamo, TX 78516-2401
Phone (956) 702-9009

Other identifiers 2

IdentifierTypeStateIssuer
145860MedicaidTX
4546492OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MEDINAS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1044 Acacia Ave
Alamo, TX 78516
Phone (956) 702-9009

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1376724179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 ACACIA AVE",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "785162401",
            "telephone_number": "956-702-9009",
            "fax_number": "956-702-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 ACACIA AVE",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "785162401",
            "telephone_number": "956-702-9009",
            "fax_number": "956-702-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIRX II LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "MARCELINO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-702-9009",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145860",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4546492",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDINAS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alamo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.