Rio Grande Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

RIO GRANDE PHARMACY, LLC

Practice address

5500 Doniphan Dr. Ste 201-202
El Paso, TX 79932

Phone

(915) 260-8555

Fax

(915) 304-0374

NPI assigned

Jun 25, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Daniel DemockNPI 1245721844

Title

Ceo

Phone

(915) 260-8555

Specialties & licenses 2

Addresses

Other names 2

• Rio Grande Pharmacy Doing business as
• Rio Grande Pharmacy, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Daniel Demock, PHARM. D.

  • Pharmacist
  • El Paso, TX
  • NPI 1245721844
  NPD Authorized official
• Elizabeth Michel, PHARMD

  • Pharmacist
  • El Paso, TX
  • NPI 1295384394
  NPD

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1659932267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 DONIPHAN DR. STE 201-202",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79932",
            "telephone_number": "915-260-8555",
            "fax_number": "915-304-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 DONIPHAN DR. STE 201-202",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79932",
            "telephone_number": "915-260-8555",
            "fax_number": "915-304-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO GRANDE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "DEMOCK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "915-260-8555",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rio Grande Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rio Grande Pharmacy, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Rio Grande Pharmacy, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rio Grande Diagnostic Imaging, PA
• Rio Grande Health Center of El Paso Inc
• Rio Grande Nephrology Consultants PLLC
• Rio Grande OB GYN Group, PA
• Rio Grande Pathology Services PA
• Rio Grande Pharmacy, LLC
• Rio Grande Urology PA
• Rio Grande Urology PA
• Rio Health Group LLP
• Rio Valle Health Inc

• Community/Retail Pharmacy in El Paso, TX
• Providers in El Paso, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.