Active NPI
El Paso Specialty Investment LLC
Doing business as El Paso Pharmacy
- Community/Retail Pharmacy
- El Paso, TX
National Provider Identifier
1508648841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- EL PASO SPECIALTY INVESTMENT LLC
- Doing business as
- El Paso Pharmacy
- Practice address
- 1400 George Dieter Dr Ste 180
El Paso, TX 79936-7656 - Phone
- (915) 302-6555
- Fax
- (905) 302-6555
- NPI assigned
- Oct 20, 2023
- Last updated
- Oct 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anisha Patel
- Title
- Owner/President
- Phone
- (702) 591-3099
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1400 George Dieter Dr Ste 180
El Paso, TX 79936-7656
Mailing address
1400 George Dieter Dr Ste 180
El Paso, TX 79936-7656
Phone (915) 302-6555
Other names 1
- El Paso Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250401003244 | TX | Part B Supplier - Pharmacy | 8527409622 | Practice locations: El Paso, TX |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba El Paso Pharmacy
- Long Term Care Pharmacy
- El Paso, TX
- NPI 1932922325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697760000000",
"number": "1508648841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 GEORGE DIETER DR STE 180",
"city": "EL PASO",
"state": "TX",
"postal_code": "799367656",
"telephone_number": "915-302-6555",
"fax_number": "905-302-6555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 GEORGE DIETER DR STE 180",
"city": "EL PASO",
"state": "TX",
"postal_code": "799367656",
"telephone_number": "915-302-6555",
"fax_number": "905-302-6555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EL PASO SPECIALTY INVESTMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-20",
"last_updated": "2023-10-20",
"certification_date": "2023-10-20",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "ANISHA",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "702-591-3099"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "El Paso Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in El Paso, TX
- El Paso Sleep Disorder Center
- El Paso Sli Sign Language Interpreters LLC
- El Paso Smiles Center, PLLC
- El Paso Southwestern Cardiovascular Associates, P.a.
- El Paso Specialty Hospital LTD (El Paso Specialty Hospital)
- El Paso Specialty Investment LLC (El Paso Pharmacy)
- El Paso Specialty Physicians Group
- El Paso Specialty Physicians Group
- El Paso Specialty Physicians Group
- El Paso Specialty Physicians Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.