Organization Active NPI

Pedro Manuel Yzaguirre Jr

  • Community/Retail Pharmacy
  • Brownsville, TX
National Provider Identifier
1750436101
Registry record updated Jun 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PEDRO MANUEL YZAGUIRRE JR
Practice address
5235 Southmost Rd Ste C
Brownsville, TX 78521-8052
Phone
(956) 504-9555
Fax
(956) 504-9910
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2025

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

Authorized official

Name
Mr. Pedro Manuel Yzaguirre Jr., RPH
Title
Pharmacist
Phone
(956) 504-9555

Specialties & licenses 1

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

Addresses

Primary practice location

5235 Southmost Rd Ste C
Brownsville, TX 78521-8052

Mailing address

5235 Southmost Rd Ste C
Brownsville, TX 78521-8056
Phone (956) 504-9555

Other identifiers 1

IdentifierTypeStateIssuer
145379MedicaidTX

Other names 1

  • PETES PHARMACY II Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140602000253 TX DME Supplier - Pharmacy 9133342660 Practice locations: Brownsville, TX

National Provider Directory

National Provider Directory
Tax ID family
Pedro Manuel Yzaguirre Jr3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

5235 Southmost Rd
Ste C
Brownsville, TX 78521
Phone (956) 504-9555

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749340800000",
    "number": "1750436101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5235 SOUTHMOST RD STE C",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785218056",
            "telephone_number": "956-504-9555",
            "fax_number": "956-504-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5235 SOUTHMOST RD STE C",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785218052",
            "telephone_number": "956-504-9555",
            "fax_number": "956-504-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO MANUEL YZAGUIRRE JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2025-06-08",
        "certification_date": "2025-06-08",
        "status": "A",
        "authorized_official_last_name": "YZAGUIRRE",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "956-504-9555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145379",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PETES PHARMACY II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2025; 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.