Organization Active NPI

El Paso Specialty Investment LLC

Doing business as El Paso Pharmacy

  • Community/Retail Pharmacy
  • El Paso, TX
National Provider Identifier
1508648841
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250401003244 TX Part B Supplier - Pharmacy 8527409622 Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Ownership & 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.

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

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.

Verify at the official NPI Registry.