NPIMap

Organization Active NPI

Ysleta del Sur Pueblo

Doing business as Ysleta Del Sur Pueblo Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • El Paso, TX
National Provider Identifier
1568196038
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X
Legal business name
YSLETA DEL SUR PUEBLO
Doing business as
Ysleta Del Sur Pueblo Pharmacy
Practice address
9473 Socorro Rd
El Paso, TX 79907
Phone
(915) 858-1076
NPI assigned
Jul 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
Reasol A Chino
Title
Director
Phone
(915) 858-1076

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X Primary
Pharmacy 333600000X

Addresses

Primary practice location

9473 Socorro Rd
El Paso, TX 79907

Mailing address

9473 Socorro Rd
El Paso, TX 79907-6832
Phone (915) 858-1076

Other names 1

  • Ysleta Del Sur Pueblo Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address YDS@yds.directihs.net Direct

National Provider Directory

National Provider Directory
Tax ID family
Ysleta del Sur Pueblo3 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.

Locations

9314 Juanchido Ln
Ysleta del Sur Pueblo, TX 79907
Phone (915) 858-1076

Interoperability endpoints

  • Direct secure messaging: yds@yds.directihs.net

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1568196038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9473 SOCORRO RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799076832",
            "telephone_number": "915-858-1076",
            "fax_number": "915-232-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9473 SOCORRO RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79907",
            "telephone_number": "915-858-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YSLETA DEL SUR PUEBLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2023-07-05",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "CHINO",
        "authorized_official_first_name": "REASOL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "915-858-1076"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "YDS@yds.directihs.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9473 Socorro Rd",
            "city": "El Paso",
            "state": "TX",
            "country_code": "US",
            "postal_code": "79907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ysleta Del Sur Pueblo Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ysleta Del Sur Pueblo 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 Jul 5, 2023; 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.