NPIMap

Organization Active NPI

Project Vida Health Center

Doing business as Naftzger Pharmacy

  • Community/Retail Pharmacy
  • El Paso, TX
National Provider Identifier
1699594481
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PROJECT VIDA HEALTH CENTER
Doing business as
Naftzger Pharmacy
Practice address
3612 Pera Ave Ste P1
El Paso, TX 79905-2412
Phone
(915) 465-1191
Fax
(915) 533-7158
NPI assigned
Oct 8, 2024
Last updated
Jul 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Authorized official

Name
Timothy Davenport-Herbst
Title
Ceo
Phone
(915) 465-1191

Specialties & licenses 2

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

Addresses

Primary practice location

3612 Pera Ave Ste P1
El Paso, TX 79905-2412

Mailing address

3607 Rivera Ave
El Paso, TX 79905-2415
Phone (915) 465-1191

Other names 1

  • Naftzger Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250719000286 TX Part B Supplier - Pharmacy 4486614765 Practice locations: El Paso, TX

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Project Vida Health Center38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

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

View all 37

Locations

1100 Colina de Paz
El Paso, TX 79928

12000 Montwood Dr
El Paso, TX 79936
Phone (915) 937-2400

14400 Pebble Hills Blvd
El Paso, TX 79938
Phone (915) 937-9656

14900B Greg Dr
El Paso, TX 79938
Phone (915) 857-2638

14964 Greg Dr
El Paso, TX 79938
Phone (915) 926-5000

2210 Sun Country Dr
El Paso, TX 79938
Phone (915) 937-6601

3612 Pera Ave
Ste P1
El Paso, TX 79905
Phone (915) 219-4892

13000 Emerald Pass Ave
Horizon City, TX 79928
Phone (915) 937-3600

13600 Ryderwood Dr
Horizon City, TX 79928

11471 Alameda Ave
Socorro, TX 79927
Phone (915) 537-7057

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Montana Vista Health CenterEl Paso, TX, CCN 671927 Federally qualified health center Other Jan 1, 2022
Mountain View High SchoolEl Paso, TX, CCN 971003 Federally qualified health center Other Jan 1, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 3

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": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1699594481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 RIVERA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052415",
            "telephone_number": "915-465-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 PERA AVE STE P1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052412",
            "telephone_number": "915-465-1191",
            "fax_number": "915-533-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT VIDA HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT-HERBST",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "915-465-1191"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Naftzger Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Naftzger Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.