Pediatric Services Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

313 Issued in TX

Legal business name

PEDIATRIC SERVICES INC.

Practice address

3435 S Alameda St
Corpus Christi, TX 78411-1728

Phone

(361) 855-3811

Fax

(361) 854-6077

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Authorized official

Name

Prof. Cynthia Ann Riewe, RPH

Title

Pic / Manager

Phone

(361) 855-3811

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pediatric Pharmacy Doing business as

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811909559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 S ALAMEDA ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111728",
            "telephone_number": "361-855-3811",
            "fax_number": "361-854-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 S ALAMEDA ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111728",
            "telephone_number": "361-855-3811",
            "fax_number": "361-854-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIEWE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PIC / MANAGER",
        "authorized_official_telephone_number": "361-855-3811",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140309",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4534574",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Pearson, MD
• Brian Joseph Pebbles, LPC-A
• Jerri Peck, SLP
• Jacob Daniel Pedersen, INDEPENDENT DUTY CO
• Pediatric Clinic of South Texas
• Pediatric Surgical Specialists of South Texas
• Pediatric Surgical Specialists of South Texas LLP
• Pediatric Therapy Associates-Speech, PLLC
• Pediatrix Dental, P.a.
• Pedicare Childrens Urgent Care PA

• Community/Retail Pharmacy in Corpus Christi, TX
• Providers in Corpus Christi, 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 Aug 22, 2020; 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.