NPIMap

Organization Active NPI

Yzanlo

  • Community/Retail Pharmacy
  • Edinburg, TX
National Provider Identifier
1679731004
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
26034 Issued in TX
Legal business name
YZANLO
Practice address
1313 S Closner Blvd
Suite B
Edinburg, TX 78539-5665
Phone
(956) 383-4441
Fax
(956) 383-4448
NPI assigned
Jun 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Authorized official

Name
Damaso Navarro, PHARM. D.NPI 1740177377
Title
Owner / Pic
Phone
(956) 383-4441

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 26034 TX Primary

Addresses

Primary practice location

1313 S Closner Blvd
Suite B
Edinburg, TX 78539-5665

Mailing address

1313 S Closner Blvd Ste B
Suite B
Edinburg, TX 78539-5665
Phone (956) 383-4441

Other identifiers 2

IdentifierTypeStateIssuer
2101301OtherPK
145921MedicaidTX

Other names 1

  • JUNIOR'S PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1313 S Closner Blvd
#B
Edinburg, TX 78539
Phone (956) 289-8441

Practitioners & affiliated clinicians

Practitioners 1

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": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1679731004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 S CLOSNER BLVD STE B",
            "address_2": "SUITE B",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395665",
            "telephone_number": "956-383-4441",
            "fax_number": "956-383-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 S CLOSNER BLVD",
            "address_2": "SUITE B",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395665",
            "telephone_number": "956-383-4441",
            "fax_number": "956-383-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YZANLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "DAMASO",
        "authorized_official_title_or_position": "OWNER / PIC",
        "authorized_official_telephone_number": "956-383-4441",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2101301",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145921",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JUNIOR'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.