Active NPI
Valley Pharmacy LLC
- Community/Retail Pharmacy
- Rio Grande City, TX
National Provider Identifier
1750965786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- VALLEY PHARMACY LLC
- Practice address
- 129 N FM 3167 Ste B
Rio Grande City, TX 78582-6211 - Phone
- (956) 487-2711
- Fax
- (956) 487-6399
- NPI assigned
- May 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marlo Canales, RPH
- Title
- Owner
- Phone
- (956) 487-2711
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
129 N FM 3167 Ste B
Rio Grande City, TX 78582-6211
Mailing address
2510 Wisteria St
Rio Grande City, TX 78582-6903
Phone (956) 487-2711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230717000004 | TX | Part B Supplier - Pharmacy | 5395105811 | Practice locations: Rio Grande City, TX |
National Provider Directory
National Provider DirectoryLocations
129 N FM 3167
#B
Rio Grande City, TX 78582
Phone (956) 352-1100
129 N FM 3167
Ste 20
Rio Grande City, TX 78582
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Rio Grande City, TX
- NPI 1073101069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622678400000",
"number": "1750965786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 WISTERIA ST",
"city": "RIO GRANDE CITY",
"state": "TX",
"postal_code": "785826903",
"telephone_number": "956-487-2711",
"fax_number": "956-487-6399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 N FM 3167 STE B",
"city": "RIO GRANDE CITY",
"state": "TX",
"postal_code": "785826211",
"telephone_number": "956-487-2711",
"fax_number": "956-487-6399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-06",
"last_updated": "2021-06-03",
"certification_date": "2021-06-03",
"status": "A",
"authorized_official_last_name": "CANALES",
"authorized_official_first_name": "MARLO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "956-487-2711",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rio Grande City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.