NPIMap

Organization Active NPI

De la Rosa Pharmacy Inc

  • Community/Retail Pharmacy
  • Mercedes, TX
National Provider Identifier
1508073115
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
22986 Issued in TX
Legal business name
DE LA ROSA PHARMACY INC
Practice address
524 W 2ND St
Mercedes, TX 78570-2602
Phone
(956) 565-0251
Fax
(956) 565-0252
NPI assigned
May 16, 2007
Organization subpart
Yes
Parent organization
DE LAROSA PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Authorized official

Name
Hector Efrain Delarosa
Title
Ceo Owner
Phone
(956) 968-8995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 22986 TX Primary

Addresses

Primary practice location

524 W 2ND St
Mercedes, TX 78570-2602

Mailing address

524 W 2ND St
Mercedes, TX 78570-2602
Phone (956) 565-0251

Other identifiers 4

IdentifierTypeStateIssuer
156352001MedicaidTX
4533180OtherTXNABP
156352002MedicaidTX
22986OtherTXSTATE LICENSE

National Provider Directory

National Provider Directory
Tax ID family
De la Rosa Pharmacy Inc3 organizations share this tax ID, including this one
Part of
De la Rosa Pharmacy Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

524 W 2nd St
Mercedes, TX 78570
Phone (956) 565-2855

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1508073115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 W 2ND ST",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785702602",
            "telephone_number": "956-565-0251",
            "fax_number": "956-565-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W 2ND ST",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785702602",
            "telephone_number": "956-565-0251",
            "fax_number": "956-565-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE LA ROSA PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DE LAROSA PHARMACY INC",
        "enumeration_date": "2007-05-16",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "DELAROSA",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "EFRAIN",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "956-968-8995"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "22986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156352001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4533180",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156352002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "22986",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercedes, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.