Mid Valley Pharmacy LLP

Primary specialty

PharmacyTaxonomy code 333600000X

License

5436770001 Issued in TX

Legal business name

MID VALLEY PHARMACY LLP

Doing business as

Mid Valley Pharmacy

Practice address

400 E Expressway 83
Mercedes, TX 78570-2700

Phone

(956) 565-4111

Fax

(956) 565-2190

NPI assigned

Aug 18, 2005

Last updated

Mar 26, 2024By 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. John Hinkle, RPHNPI 1023107083

Title

RPH/Owner

Phone

(956) 565-4111

Specialties & licenses 2

Addresses

Other names 1

• Mid Valley Pharmacy Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

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.

• John R Hinkle, RPH

  • Pharmacist
  • Mercedes, TX
  • NPI 1023107083
  Authorized official Same address or phone
• Robert Zamora, RPH

  • Pharmacist
  • Raymondville, TX
  • NPI 1487755435
  NPD
• Ariel Jacklyn Champion, PHARM.D.

  • Pharmacist
  • Mercedes, TX
  • NPI 1801458393
  NPD (past)

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1407848112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E EXPRESSWAY 83",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785702700",
            "telephone_number": "956-565-4111",
            "fax_number": "956-565-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E EXPRESSWAY 83",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785702700",
            "telephone_number": "956-565-4111",
            "fax_number": "956-565-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID VALLEY PHARMACY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "HINKLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "RPH/OWNER",
        "authorized_official_telephone_number": "956-565-4111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "5436770001",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "5436770001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PEMS",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other health care partners",
            "address_1": "400 E Expressway 83",
            "city": "Mercedes",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785702700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mid Valley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercedes Adult Day Care, LLC
• Mercedes Isd
• Mercedes Isd
• Mid Valley Homecare Services, LLC.
• Mid Valley Medical Supplies LLC
• Mind Matters, LLC
• Leticia Mireles
• Abad Morales
• Jessica Maritza Morales, OTR
• Marcial Arturo Moreno Gutierrez, M.D.

• Pharmacy in Mercedes, TX
• Providers in Mercedes, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.