Organization Active NPI

Azteca RX Pharmacy, LLC

Doing business as Azteca RX Pharmacy

  • Community/Retail Pharmacy
  • Houston, TX
National Provider Identifier
1386341915
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
AZTECA RX PHARMACY, LLC
Doing business as
Azteca RX Pharmacy
Practice address
7101 Lawndale St
Houston, TX 77023-4248
Phone
(713) 923-9150
Fax
(713) 923-9152
NPI assigned
Feb 14, 2023
Organization subpart
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Mr. Mario Medell Pena, RPHNPI 1265147052
Title
Pharmacist
Phone
(713) 923-9150

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

7101 Lawndale St
Houston, TX 77023-4248

Mailing address

7101 Lawndale St
Houston, TX 77023-4248
Phone (713) 923-9150

Other names 1

  • AZTECA RX PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231117000264 TX Part B Supplier - Pharmacy 7719334465 Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Part of
Azteca RX Pharmacy LLC

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1386341915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 LAWNDALE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770234248",
            "telephone_number": "713-923-9150",
            "fax_number": "713-923-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 LAWNDALE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770234248",
            "telephone_number": "713-923-9150",
            "fax_number": "713-923-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZTECA RX PHARMACY, LLC",
        "organizational_subpart": "YES",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "MEDELL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "713-923-9150",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AZTECA RX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.