NPIMap

Organization Active NPI

Raymondville Family Pharmacy LLP

  • Pharmacy
  • Raymondville, TX
National Provider Identifier
1639161730
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
40248 Issued in TX
Legal business name
RAYMONDVILLE FAMILY PHARMACY LLP
Practice address
180 N 7TH St
Raymondville, TX 78580-2202
Phone
(956) 689-6337
Fax
(956) 689-3500
NPI assigned
Aug 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Authorized official

Name
Mr. Eligio Adrian Cervantes, RPHNPI 1053412080
Title
RPH/Owner
Phone
(956) 689-6337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 15471802 TX
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 156471802 TX
Pharmacy 333600000X 40248 TX Primary

Addresses

Primary practice location

180 N 7TH St
Raymondville, TX 78580-2202

Mailing address

180 N 7TH St
Raymondville, TX 78580-2202
Phone (956) 689-6337

Other identifiers 1

IdentifierTypeStateIssuer
156471802MedicaidTX

National Provider Directory

National Provider Directory

Locations

722 Morgan Blvd
Ste K
Harlingen, TX 78550
Phone (956) 291-7131

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1639161730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N 7TH ST",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785802202",
            "telephone_number": "956-689-6337",
            "fax_number": "956-689-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N 7TH ST",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785802202",
            "telephone_number": "956-689-6337",
            "fax_number": "956-689-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMONDVILLE FAMILY PHARMACY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "CERVANTES",
        "authorized_official_first_name": "ELIGIO",
        "authorized_official_middle_name": "ADRIAN",
        "authorized_official_title_or_position": "RPH/OWNER",
        "authorized_official_telephone_number": "956-689-6337",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "15471802",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "156471802",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "40248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156471802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymondville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.