Organization Active NPI

Latin American Pharmacy Inc.

  • Community/Retail Pharmacy
  • Brownsville, TX
National Provider Identifier
1497797203
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
23968 Issued in TX
Legal business name
LATIN AMERICAN PHARMACY INC.
Practice address
3914 Pardes LN Rd
Brownsville, TX 78526-1184
Phone
(956) 982-4440
Fax
(956) 550-9925
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Sean Yarbrough, PHARMD
Title
Owner
Phone
(713) 988-9996

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 23968 TX Primary

Addresses

Primary practice location

3914 Pardes LN Rd
Brownsville, TX 78526-1184

Mailing address

1814 Matthews St
Houston, TX 77019-5515

Other identifiers 3

IdentifierTypeStateIssuer
1455111MedicaidTX
4533875OtherOTHER ID NUMBER
4533875OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • VALLEY PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1497797203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 MATTHEWS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770195515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 PARDES LN RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785261184",
            "telephone_number": "956-982-4440",
            "fax_number": "956-550-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATIN AMERICAN PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "YARBROUGH",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-988-9996",
        "authorized_official_credential": "PHARMD"
    },
    "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": "23968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455111",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4533875",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4533875",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.