Active NPI
Advant-Edge Healthcare
- Long Term Care Pharmacy
- El Paso, TX
National Provider Identifier
1821853458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- ADVANT-EDGE HEALTHCARE
- Practice address
- 14476 Horizon Blvd Ste J
El Paso, TX 79928-8579 - Phone
- (915) 852-8884
- Fax
- (915) 852-1727
- NPI assigned
- Feb 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Eustacio Rivas Jr., RPH
- Title
- President
- Phone
- (915) 852-8884
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
14476 Horizon Blvd Ste J
El Paso, TX 79928-8579
Mailing address
14476 Horizon Blvd Ste J
El Paso, TX 79928-8579
Other names 1
- Advant-Edge Pharmacy #2
National Provider Directory
National Provider Directory- Tax ID family
- Advant Edge Pharmacy 00002
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Horizon City, TX
- NPI 1922287804
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Horizon City, TX
- NPI 1780278408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707782400000",
"number": "1821853458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14476 HORIZON BLVD STE J",
"city": "EL PASO",
"state": "TX",
"postal_code": "799288579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14476 HORIZON BLVD STE J",
"city": "EL PASO",
"state": "TX",
"postal_code": "799288579",
"telephone_number": "915-852-8884",
"fax_number": "915-852-1727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANT-EDGE HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-13",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A",
"authorized_official_last_name": "RIVAS",
"authorized_official_first_name": "EUSTACIO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "915-852-8884",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advant-Edge Pharmacy #2",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in El Paso, TX
- Advanced TMS Neuro Therapeutics, LLC
- Advanced Urology of El Paso, P.a
- Advanced Vision Solutions, PLLC
- Advant Edge Pharmacy, Inc
- Advant Edge Pharmacy, Inc
- Advant-Edge Pharmacy, Inc
- Kwasi Adzotor, MD
- Walter Aeschbach, M.D.
- Affinity Personal Assistance Services
- Affordable Dentures & Implants - Texas VIII, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.