Organization Active NPI

Medical Plaza Pharmacy Inc

  • Community/Retail Pharmacy
  • Corpus Christi, TX
National Provider Identifier
1689767030
Registry record updated Jul 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
20458 Issued in TX
Legal business name
MEDICAL PLAZA PHARMACY INC
Doing business as
Medical Plaza Pharmacy Inc
Practice address
13725 Northwest Blvd
Suite 130
Corpus Christi, TX 78410-5127
Phone
(361) 387-0005
Fax
(361) 387-1132
NPI assigned
Sep 30, 2006
Last updated
Jul 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2017

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

Authorized official

Name
Yolanda Villarreal, RPHNPI 1194229674
Title
Pic Owner
Phone
(361) 387-0005

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 20458 TX Primary

Addresses

Primary practice location

13725 Northwest Blvd
Suite 130
Corpus Christi, TX 78410-5127

Mailing address

13725 Northwest Blvd
Suite 130
Corpus Christi, TX 78410-5127
Phone (361) 387-0005

Other identifiers 2

IdentifierTypeStateIssuer
068570301MedicaidTX
2093845OtherPK

Other names 1

  • MEDICAL PLAZA PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Locations

13725 Northwest Blvd
Ste 130
Corpus Christi, TX 78410
Phone (361) 387-0005

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500940800000",
    "number": "1689767030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13725 NORTHWEST BLVD",
            "address_2": "SUITE 130",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105127",
            "telephone_number": "361-387-0005",
            "fax_number": "361-387-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13725 NORTHWEST BLVD",
            "address_2": "SUITE 130",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105127",
            "telephone_number": "361-387-0005",
            "fax_number": "361-387-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PLAZA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2017-07-25",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "PIC OWNER",
        "authorized_official_telephone_number": "361-387-0005",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "20458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068570301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2093845",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL PLAZA PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; 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.