Organization Active NPI

La Blanca Pharmacy Inc.

  • Durable Medical Equipment & Medical Supplies
  • La Blanca, TX
National Provider Identifier
1619193596
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
23203 Issued in TX
Legal business name
LA BLANCA PHARMACY INC.
Practice address
18360 FM 493 Ste. B
La Blanca, TX 78558
Phone
(956) 262-7662
Fax
(956) 262-7627
NPI assigned
Apr 18, 2007
Last updated
Feb 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Authorized official

Name
Rafael Ricardo Lopez, R.PH.
Title
Prresident
Phone
(956) 262-7662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 23203 TX Primary

Addresses

Primary practice location

18360 FM 493 Ste. B
La Blanca, TX 78558

Mailing address

2801 S Pecan Blvd
Donna, TX 78537-6553
Phone (956) 262-7662

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1619193596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 S PECAN BLVD",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785376553",
            "telephone_number": "956-262-7662",
            "fax_number": "856-262-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18360 FM 493 STE. B",
            "city": "LA BLANCA",
            "state": "TX",
            "postal_code": "78558",
            "telephone_number": "956-262-7662",
            "fax_number": "956-262-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA BLANCA PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "RICARDO",
        "authorized_official_title_or_position": "PRRESIDENT",
        "authorized_official_telephone_number": "956-262-7662",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "23203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Blanca, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.