Organization Active NPI

R & L Pharmacy LLC

Doing business as Pharrmacy

  • Clinic/Center
  • Pharr, TX
National Provider Identifier
1396816518
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
R & L PHARMACY LLC
Doing business as
Pharrmacy
Practice address
900 W Sam Houston Blvd Ste 3
Pharr, TX 78577-5215
Phone
(956) 283-0911
Fax
(956) 283-1884
NPI assigned
Nov 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Victoria Y Ajayi, PHARMDNPI 1407266612
Title
Owner/Pic
Phone
(956) 283-0911

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 23948 TX
Community/Retail Pharmacy 3336C0003X TX

Addresses

Primary practice location

900 W Sam Houston Blvd Ste 3
Pharr, TX 78577-5215

Mailing address

900 W Sam Houston Blvd Ste 3
Pharr, TX 78577-5215
Phone (956) 283-0911

Other identifiers 1

IdentifierTypeStateIssuer
148417MedicaidTX

Other names 1

  • Pharrmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20200811000701 TX Part B Supplier - Pharmacy 3678998440 Practice locations: Pharr, TX
O20201001001531 TX DME Supplier - Pharmacy 3678998440 Practice locations: Pharr, TX
O20211004002702 TX Part B Supplier - Independent Clinical Laboratory 3678998440 Practice locations: Pharr, TX

National Provider Directory

National Provider Directory
Tax ID family
Pharrmacy2 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.

Locations

1002 W Sam Houston Blvd
Ste 1
Pharr, TX 78577
Phone (956) 283-0911

900 W Sam Houston Blvd
Ste 3
Pharr, TX 78577
Phone (956) 283-0911

1002 W Sam Houston Blvd
#R
Pharr, TX 78577
Phone (956) 283-0911

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": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1396816518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W SAM HOUSTON BLVD STE 3",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775215",
            "telephone_number": "956-283-0911",
            "fax_number": "956-283-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W SAM HOUSTON BLVD STE 3",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785775215",
            "telephone_number": "956-283-0911",
            "fax_number": "956-283-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R & L PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "AJAYI",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "956-283-0911",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "23948",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148417",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharrmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pharrmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pharr, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.