Coach'S RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

22272 Issued in TX

Legal business name

COACH'S RX INC

Practice address

100 N Texas Ave
Suite a
Mercedes, TX 78570-2723

Phone

(956) 514-2420

Fax

(956) 514-2530

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Raquel None Lopez

Title

Pharmacist

Phone

(956) 357-0408

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Coach's Pharmacy Doing business as

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1790845683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N TEXAS AVE",
            "address_2": "SUITE A",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785702723",
            "telephone_number": "956-514-2420",
            "fax_number": "956-514-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N TEXAS AVE",
            "address_2": "SUITE A",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785702723",
            "telephone_number": "956-514-2420",
            "fax_number": "956-514-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COACH'S RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_middle_name": "NONE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "956-357-0408"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "22272",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145224",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coach's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Coach'S RX Inc
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• Frances Amanda Contreras, SLPA
• Corazon Provider Services, LLC.

• Community/Retail Pharmacy in Mercedes, TX
• Providers in Mercedes, 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 Jan 3, 2022; 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.