RGV Compounding Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

30157 Issued in TX

Legal business name

RGV COMPOUNDING PHARMACY

Practice address

5460 Paredes Line Rd Ste 199
Brownsville, TX 78526-9742

Phone

(956) 621-0228

Fax

(956) 621-0668

NPI assigned

Aug 29, 2015

Organization subpart

No

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

Authorized official

Name

Joel Benitez

Title

Managing Member

Phone

(956) 544-0237

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• The Pharmacy at Uptown Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1440806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1770950339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 UPTOWN AVE # 110-B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785207559",
            "telephone_number": "956-544-0237",
            "fax_number": "956-544-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 PAREDES LINE RD STE 199",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785269742",
            "telephone_number": "956-621-0228",
            "fax_number": "956-621-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RGV COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-29",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "956-544-0237"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30157",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154079",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pharmacy at Uptown",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Pharmacy at Uptown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaime Reyna, PT
• Linda Leal Reyna, OTR
• Monica Reyna
• Rebecca Reyna
• Karen Michelle Reynolds
• RGV Day & Night Clinic LLC
• RGV Eye Institute LLC
• RGV Family Medical Group, PLLC
• RGV Health Medical Clinic, PLLC
• RGV Home Care LLC

• Community/Retail Pharmacy in Brownsville, TX
• Providers in Brownsville, 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 Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.