Organization Active NPI

Valley Baptist Medical Center

  • Community/Retail Pharmacy
  • Harlingen, TX
National Provider Identifier
1669517801
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
13564 Issued in TX
Legal business name
VALLEY BAPTIST MEDICAL CENTER
Practice address
2101 Pease St
East Tower
Harlingen, TX 78550-8307
Phone
(956) 389-6898
Fax
(956) 389-1984
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Authorized official

Name
Jack Ayoub, RPH
Title
Outpatient Pharmacy Supervisor
Phone
(956) 389-6898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 13564 TX Primary

Addresses

Primary practice location

2101 Pease St
East Tower
Harlingen, TX 78550-8307

Mailing address

2101 Pease St
East Tower
Harlingen, TX 78550-8307
Phone (956) 389-6898

Other identifiers 2

IdentifierTypeStateIssuer
4581573OtherNCPDP PROVIDER IDENTIFICATION NUMBER
250339MedicaidTX

Other names 1

  • V B M C OUTPATIENT PHY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Valley Baptist Cashier6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1669517801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 PEASE ST",
            "address_2": "EAST TOWER",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508307",
            "telephone_number": "956-389-6898",
            "fax_number": "956-389-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 PEASE ST",
            "address_2": "EAST TOWER",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508307",
            "telephone_number": "956-389-6898",
            "fax_number": "956-389-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY BAPTIST MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "AYOUB",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OUTPATIENT PHARMACY SUPERVISOR",
        "authorized_official_telephone_number": "956-389-6898",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "13564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4581573",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250339",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "V B M C OUTPATIENT PHY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.