Mermaid Walking Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MERMAID WALKING INC

Doing business as

Divine Pharmacy #2

Practice address

409 W FM 495
San Juan, TX 78589-3717

Phone

(956) 601-0140

Fax

(833) 998-4116

NPI assigned

Feb 14, 2025

Organization subpart

No

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

Authorized official

Name

Jose G Vargas, CPHT

Title

Vice-President

Phone

(956) 534-6990

Specialties & licenses 1

Addresses

Other names 1

• Divine Pharmacy #2 Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Idana Merrick, R.PH.

  • Pharmacist
  • Ingleside, TX
  • NPI 1427461813
  NPD
• Federico Eusebio Moron, PHARMD

  • Pharmacist
  • Mission, TX
  • NPI 1932300332
  NPD

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1629873583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W FM 495",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893717",
            "telephone_number": "956-601-0140",
            "fax_number": "833-998-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W FM 495",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893717",
            "telephone_number": "956-601-0140",
            "fax_number": "833-998-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERMAID WALKING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "956-534-6990",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Pharmacy #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Rivera DDS PA
• Jose Luis Mendez Jr., CONTRACTOR
• Rigo Lee Mendoza
• Mercy Rehab Services, Inc.
• Mermaid Walking Inc
• Vanessa O Meza, COTA
• Mi Hacienda Adult Day Care LLC
• Michelle J Trevino
• Mid-Valley Behavioral Health and Psychological Services
• Rowena Mirmohammadi

• Long Term Care Pharmacy in San Juan, TX
• Providers in San Juan, TX by specialty
• Long Term Care Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.