NPIMap

Organization Active NPI

KV Early Ind

Doing business as Cantus Pharmacy

  • Community/Retail Pharmacy
  • Brownsville, TX
National Provider Identifier
1548378227
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
18322 Issued in TX
Legal business name
KV EARLY IND
Doing business as
Cantus Pharmacy
Practice address
680 Paredes Line Rd
Brownsville, TX 78521-2482
Phone
(956) 542-6050
Fax
(956) 544-5539
NPI assigned
Aug 25, 2006
Last updated
Aug 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Authorized official

Name
Erasmo Cantu
Title
Owner
Phone
(956) 544-6666

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 18322 TX Primary

Addresses

Primary practice location

680 Paredes Line Rd
Brownsville, TX 78521-2482

Mailing address

1080 E Los Ebanos Blvd
Brownsville, TX 78520-9988
Phone (956) 542-6050

Other identifiers 2

IdentifierTypeStateIssuer
144640MedicaidTX
4501967OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • CANTUS PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cantu Westside Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1548378227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 E LOS EBANOS BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785209988",
            "telephone_number": "956-542-6050",
            "fax_number": "956-544-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 PAREDES LINE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212482",
            "telephone_number": "956-542-6050",
            "fax_number": "956-544-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KV EARLY IND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "CANTU",
        "authorized_official_first_name": "ERASMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-544-6666"
    },
    "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": "18322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144640",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4501967",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANTUS 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 Aug 2, 2012; 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.