Presidio Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31099 Issued in TX

Legal business name

PRESIDIO PHARMACY INC

Doing business as

Presidio Pharmacy

Practice address

1501 B North Erma Ave
Presidio, TX 79845

Phone

(432) 229-2252

Fax

(432) 229-3152

NPI assigned

Dec 19, 2016

Organization subpart

No

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

Authorized official

Name

Mario X Juarez, R.PH.NPI 1972967396

Title

President/Owner

Phone

(432) 336-2297

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Presidio Pharmacy Doing business as

Practitioners 1

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

• Mario Juarez

  • Pharmacist
  • Presidio, TX
  • NPI 1972967396
  NPD (past) Authorized official

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1801330303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2044",
            "city": "PRESIDIO",
            "state": "TX",
            "postal_code": "798452044",
            "telephone_number": "432-229-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 B NORTH ERMA AVE",
            "city": "PRESIDIO",
            "state": "TX",
            "postal_code": "79845",
            "telephone_number": "432-229-2252",
            "fax_number": "432-229-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESIDIO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "JUAREZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "432-336-2297",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE NUMBER",
            "identifier": "31099",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presidio Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Health Hub Physicians Inc (Bravo Health Presidio)
• Victor Hugo Hernandez, M.ED.
• Mario Juarez
• Presidio Independent School District
• Presidio Medical Center
• Preventative Care Health Service, Inc. (Presidio County Health Services, Inc)
• Preventative Care Health Services, Inc
• Denise Salcido Ramos, CARE GIVER
• Reliance Medical, Inc
• Reliance Medical, Inc.

• Community/Retail Pharmacy in Presidio, TX
• Providers in Presidio, 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 23, 2017; 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.