NPIMap

Organization Active NPI

La Blanca Pharmacy Inc

Doing business as La Blanca Pharmacy

  • Community/Retail Pharmacy
  • La Blanca, TX
National Provider Identifier
1750508222
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
23203 Issued in TX
Legal business name
LA BLANCA PHARMACY INC
Doing business as
La Blanca Pharmacy
Practice address
18360 FM 493
Ste B
La Blanca, TX 78558
Phone
(956) 262-7662
Fax
(956) 262-7627
NPI assigned
Apr 19, 2007
Last updated
Feb 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Authorized official

Name
Rafael Lopez
Title
Pic
Phone
(956) 262-7662

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X 23203 TX Primary

Addresses

Primary practice location

18360 FM 493
Ste B
La Blanca, TX 78558

Mailing address

2801 S Pecan Blvd
Donna, TX 78537-6553

Other identifiers 2

IdentifierTypeStateIssuer
2098248OtherPK
145248MedicaidTX

Other names 1

  • LA BLANCA PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
La Blanca Pharmacy2 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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1750508222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 S PECAN BLVD",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785376553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18360 FM 493",
            "address_2": "STE B",
            "city": "LA BLANCA",
            "state": "TX",
            "postal_code": "78558",
            "telephone_number": "956-262-7662",
            "fax_number": "956-262-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA BLANCA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "956-262-7662"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "23203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2098248",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145248",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA BLANCA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Blanca, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.