Eustacio Rivas Jr.

Primary specialty

PharmacistTaxonomy code 183500000X

License

31961 Issued in TX

Practice address

14476 Horizon Blvd Ste J
Horizon City, TX 79928-8579

Phone

(915) 852-8884

Fax

(915) 852-1727

NPI assigned

Feb 23, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advant-Edge Healthcare

  dba Advant-Edge Pharmacy #2

  • Long Term Care Pharmacy
  • El Paso, TX
  • NPI 1821853458
  NPD Authorized official
• Advant-Edge Healthcare

  dba Advant Edge Pharmacy 00002

  • Community/Retail Pharmacy
  • Horizon City, TX
  • NPI 1922287804
  NPD Authorized official

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1780278408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 LOMALAND DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354202",
            "telephone_number": "915-595-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14476 HORIZON BLVD STE J",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799288579",
            "telephone_number": "915-852-8884",
            "fax_number": "915-852-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "EUSTACIO",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "31961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Quintana
• R Martz El Paso PLLC
• Alyssa Ramirez
• Roxanne Ramirez
• Remedy Counseling & Wellness LLC (The Remedy Counseling & Wellness LLC)
• Brenda Gonzalez Rodriguez
• Edna B Rodriguez
• Hector Librado Rodriguez, FNP-BC
• Jasmine I Rodriguez
• Laura Louisa Rodriguez

• Pharmacist in Horizon City, TX
• Providers in Horizon City, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.