Pharmacy Station DME LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PHARMACY STATION DME LLC

Practice address

640 S Expressway 77 Ste 1a
Raymondville, TX 78580-4241

Phone

(956) 398-6573

NPI assigned

Feb 26, 2024

Organization subpart

No

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

Authorized official

Name

Jose A Vela

Title

Administrator

Phone

(956) 398-6573

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1689430787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 E BUS 83 STE 7",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785729308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S EXPRESSWAY 77 STE 1A",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785804241",
            "telephone_number": "956-398-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY STATION DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "VELA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-398-6573"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Denise Moreno, RN-BC, FNP-C
• Pedro C Mungia, DDS
• Angelic Pedraza, FNP-C
• Lila Pena, FNP
• Maria J Perez, FNP
• Pharmacy Station LLC
• Pharmacy Station LLC
• Plan Behavioral Center LLC
• Alexis Rae Ramirez, SLP-A
• Irene C Ramirez, FNP

• Durable Medical Equipment & Medical Supplies in Raymondville, TX
• Providers in Raymondville, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.