Organization Active NPI

Luna'S Family Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Eagle Pass, TX
National Provider Identifier
1629106752
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
22698 Issued in TX
Legal business name
LUNA'S FAMILY PHARMACY, INC.
Practice address
1975 N Veterans Blvd Ste 3
Eagle Pass, TX 78852-4456
Phone
(830) 773-7800
Fax
(830) 773-9588
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Noe Tinajero, RPH
Title
Pharmacy Manager
Phone
(830) 773-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 22698 TX Primary

Addresses

Primary practice location

1975 N Veterans Blvd Ste 3
Eagle Pass, TX 78852-4456

Mailing address

1975 N Veterans Blvd Ste 3
Eagle Pass, TX 78852-4456
Phone (830) 773-7800

Other identifiers 1

IdentifierTypeStateIssuer
145308MedicaidTX

National Provider Directory

National Provider Directory

Locations

1975 N Veterans Blvd
Ste 3
Eagle Pass, TX 78852
Phone (830) 773-7800

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629106752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 N VETERANS BLVD STE 3",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524456",
            "telephone_number": "830-773-7800",
            "fax_number": "830-773-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 N VETERANS BLVD STE 3",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524456",
            "telephone_number": "830-773-7800",
            "fax_number": "830-773-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA'S FAMILY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TINAJERO",
        "authorized_official_first_name": "NOE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "830-773-7800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "22698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145308",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Pass, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.