Organization Active NPI

Coach'S RX Inc

  • Durable Medical Equipment & Medical Supplies
  • Mercedes, TX
National Provider Identifier
1619188448
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
22272 Issued in TX
Legal business name
COACH'S RX INC
Practice address
100 N TX Avenue
Suite a
Mercedes, TX 78570-2747
Phone
(956) 514-2420
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Authorized official

Name
Mrs. Raquel Lopez
Title
Corp Sec
Phone
(956) 514-2420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 22272 TX Primary

Addresses

Primary practice location

100 N TX Avenue
Suite a
Mercedes, TX 78570-2747

Mailing address

100 N TX Ave
Suite a
Mercedes, TX 78570-2747
Phone (956) 514-2420

Other identifiers 2

IdentifierTypeStateIssuer
154464501MedicaidTX
154464502MedicaidTX

Other names 1

  • COACH'S PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

100 N Texas Ave
Ste A
Mercedes, TX 78570
Phone (956) 514-2420

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1619188448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N TX AVE",
            "address_2": "SUITE A",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785702747",
            "telephone_number": "956-514-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N TX AVENUE",
            "address_2": "SUITE A",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785702747",
            "telephone_number": "956-514-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COACH'S RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "CORP SEC",
        "authorized_official_telephone_number": "956-514-2420",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "22272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154464501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154464502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COACH'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 9, 2009; 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.