Organization Active NPI

Valley Pharmacy LLC

  • Community/Retail Pharmacy
  • Rio Grande City, TX
National Provider Identifier
1750965786
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Jun 3, 2021

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

Authorized official

Name
Marlo Canales, RPHNPI 1073101069
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20230717000004 TX Part B Supplier - Pharmacy 5395105811 Practice locations: Rio Grande City, TX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.