Organization Active NPI

Laredo Downtown Pharmacy, Inc.

  • Pharmacy
  • Laredo, TX
National Provider Identifier
1699873190
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
16120 Issued in TX
Legal business name
LAREDO DOWNTOWN PHARMACY, INC.
Practice address
1219 Matamoros St
Laredo, TX 78040-5069
Phone
(956) 726-4512
Fax
(956) 726-6506
NPI assigned
Sep 20, 2006
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Tomas Izaguirre, RPHNPI 1942200738
Title
Owner
Phone
(956) 726-4512

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
Pharmacy 333600000X 16120 TX Primary

Addresses

Primary practice location

1219 Matamoros St
Laredo, TX 78040-5069

Mailing address

1219 Matamoros St
Laredo, TX 78040-5069
Phone (956) 726-4512

Other identifiers 2

IdentifierTypeStateIssuer
144161MedicaidTX
086982802MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160418000757 TX Part B Supplier - Mass Immunization (Roster Biller Only) 4789704438 Practice locations: Laredo, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1699873190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 MATAMOROS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780405069",
            "telephone_number": "956-726-4512",
            "fax_number": "956-726-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 MATAMOROS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780405069",
            "telephone_number": "956-726-4512",
            "fax_number": "956-726-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAREDO DOWNTOWN PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "IZAGUIRRE",
        "authorized_official_first_name": "TOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-726-4512",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "16120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144161",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086982802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.