Santos Gonzalez Dba Fred's Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

13433 Issued in TX

Legal business name

SANTOS GONZALEZ DBA FRED'S PHARMACY

Practice address

202 W Rice St
Falfurrias, TX 78355-3704

Phone

(361) 325-2662

Fax

(361) 325-5177

NPI assigned

Sep 1, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Santos Orlando Gonzalez, RPHNPI 1033890363

Title

Owner/ Pic

Phone

(956) 655-7557

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Santos Gonzalez, RPH

  • Pharmacist
  • McAllen, TX
  • NPI 1033890363
  NPD Authorized official

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1740274091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "FALFURRIAS",
            "state": "TX",
            "postal_code": "783550340",
            "telephone_number": "361-325-2662",
            "fax_number": "361-325-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W RICE ST",
            "city": "FALFURRIAS",
            "state": "TX",
            "postal_code": "783553704",
            "telephone_number": "361-325-2662",
            "fax_number": "361-325-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTOS GONZALEZ DBA FRED'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "SANTOS",
        "authorized_official_middle_name": "ORLANDO",
        "authorized_official_title_or_position": "OWNER/ PIC",
        "authorized_official_telephone_number": "956-655-7557",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "13433",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "13433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143541",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCES",
            "identifier": "4519673",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Falfurrias, TX
• Providers in Falfurrias, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.