Surecare Specialty Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29220 Issued in TX

Legal business name

SURECARE SPECIALTY PHARMACY, LLC

Practice address

4005 N Mesa St
El Paso, TX 79902-1526

Phone

(855) 532-2400

NPI assigned

Aug 19, 2013

Organization subpart

No

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

Authorized official

Name

Alexandra Torres, PHARMD

Title

Pic

Phone

(915) 532-2400

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Alexandra Abbas, PHARMD

  • Pharmacist
  • El Paso, TX
  • NPI 1699015875
  NPD

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1760815211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021526",
            "telephone_number": "855-532-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021526",
            "telephone_number": "855-532-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURECARE SPECIALTY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "915-532-2400",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29220",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "TX",
            "license": "29220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Superior DME, Inc.
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• Supervista North America
• Richard Axton Supnet
• Suresh J Antony M D P a
• Surgcenter of West Texas LLC
• Surgery Affiliate of El Paso, LLC
• Surgical Anesthesia Management of Texas LLC
• Surgical Center of Excellence LLC

• Community/Retail Pharmacy in El Paso, TX
• Providers in El Paso, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.