Velacorp Pharmacists Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

VELACORP PHARMACISTS INC

Doing business as

San Juan Pharmacy

Practice address

1205 N Raul Longoria Rd
Suite F
San Juan, TX 78589-3720

Phone

(956) 782-6337

Fax

(956) 588-4314

NPI assigned

Sep 25, 2006

Last updated

Apr 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Ageudo Rodriguez, R. PH

Title

Owner

Phone

(956) 782-6337

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• San Juan Pharmacy Doing business as

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1639270770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N RAUL LONGORIA RD",
            "address_2": "SUITE F",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893720",
            "telephone_number": "956-782-6337",
            "fax_number": "956-588-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N RAUL LONGORIA RD",
            "address_2": "SUITE F",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893720",
            "telephone_number": "956-782-6337",
            "fax_number": "956-588-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VELACORP PHARMACISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "AGEUDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-782-6337",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R. PH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011219501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Juan Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ventzislav D Vanguelov, M.D.
• Alyssa Vela, SLP-INTERN
• Edgar Vela, OTR
• Jeanette Vela
• Oscar Rene Vela, P.A-C
• Dora Velazquez, FNP
• Veterans Boulevard Family Dentistry, PLLC (Smile Magic of San Juan)
• Edilio Javier Villalobos
• David Villanueva, RPH
• Villarreal Medical Center PA

• Oxygen Equipment & Supplies (DME) in San Juan, TX
• Providers in San Juan, TX by specialty
• Oxygen Equipment & Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.