Organization Active NPI

Rjmtz Pharmacy LLC

  • Community/Retail Pharmacy
  • Bryan, TX
National Provider Identifier
1801900899
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
26752 Issued in TX
Legal business name
RJMTZ PHARMACY LLC
Doing business as
The Pharmacy Corner
Practice address
3201 University Dr E
Suite 145
Bryan, TX 77802-3475
Phone
(979) 776-0902
Fax
(979) 776-0826
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Authorized official

Name
Jill Mutz, RPH
Title
Owner
Phone
(979) 776-0902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 26752 TX Primary

Addresses

Primary practice location

3201 University Dr E
Suite 145
Bryan, TX 77802-3475

Mailing address

3201 University Dr E
Suite 145
Bryan, TX 77802-3475
Phone (979) 776-0902

Other identifiers 1

IdentifierTypeStateIssuer
4522202OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • The Pharmacy Corner Doing business as

National Provider Directory

National Provider Directory

Locations

3201 University Dr E
Ste 145
Bryan, TX 77802
Phone (979) 776-0902

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1801900899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 UNIVERSITY DR E",
            "address_2": "SUITE 145",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023475",
            "telephone_number": "979-776-0902",
            "fax_number": "979-776-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 UNIVERSITY DR E",
            "address_2": "SUITE 145",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023475",
            "telephone_number": "979-776-0902",
            "fax_number": "979-776-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RJMTZ PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "MUTZ",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-776-0902",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4522202",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pharmacy Corner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.