Organization Active NPI

Hector G. Arredondo

  • Community/Retail Pharmacy
  • El Paso, TX
National Provider Identifier
1679792980
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2930 Issued in TX
Legal business name
HECTOR G. ARREDONDO
Practice address
3712 Alameda Ave
El Paso, TX 79905-2507
Phone
(915) 533-8446
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Hector Arredondo, RPH
Title
Owner
Phone
(915) 533-8447

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2930 TX Primary

Addresses

Primary practice location

3712 Alameda Ave
El Paso, TX 79905-2507

Mailing address

3712 Alameda Ave
El Paso, TX 79905-2507

Other identifiers 3

IdentifierTypeStateIssuer
4500472OtherOTHER ID NUMBER-COMMERCIAL NUMBER
110774MedicaidTX
4500472OtherOTHER ID NUMBER

Other names 1

  • San Pedro Thrifty Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3712 Alameda Ave
El Paso, TX 79905
Phone (915) 533-8446

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1679792980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 ALAMEDA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 ALAMEDA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052507",
            "telephone_number": "915-533-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HECTOR G. ARREDONDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "ARREDONDO",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-533-8447",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "2930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4500472",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110774",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4500472",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Pedro Thrifty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.