M.a.M.T., LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

19935 Issued in TX

Legal business name

M.A.M.T., LLC

Practice address

1525 E. 6TH St., Ste. C
Weslaco, TX 78596

Phone

(956) 447-5646

Fax

(956) 447-3747

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Nidia Villarreal

Title

Member

Phone

(956) 318-0253

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Med-Aid Pharmacy-Weslaco Doing business as

Tax ID family

Mamt LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• M.a.M.T., LLC

  • Community/Retail Pharmacy
  • Mission, TX
  • NPI 1275615221
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria M Deiter, RPH

  • Pharmacist
  • Humacao, PR
  • NPI 1457354342
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700968765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922-A S. CLOSNER",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E. 6TH ST., STE. C",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "78596",
            "telephone_number": "956-447-5646",
            "fax_number": "956-447-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.A.M.T., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "NIDIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "956-318-0253"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "19935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144936",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med-Aid Pharmacy-Weslaco",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luis P. Bay, MD. PA
• Ricardo Jose Luna, DC
• Judith Lunn
• Lynncare Hospice Services, LLC
• M Oliveira DME Inc.
• Macell, LLC
• Nestor Omar Malaga Carpio, M.D.
• Glenda Maldonado
• Israel Maldonado, B.S. ASSISTANT SLP
• Mona H Mallikarjunaiah, MD.

• Community/Retail Pharmacy in Weslaco, TX
• Providers in Weslaco, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.