Active NPI
Richards RX LLC
Doing business as Richard's Pharmacy
- Community/Retail Pharmacy
- Edinburg, TX
National Provider Identifier
1841201431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 25144
- Legal business name
- RICHARDS RX LLC
- Doing business as
- Richard's Pharmacy
- Practice address
- 4630 S Closner Blvd
Edinburg, TX 78539-7279 - Phone
- (956) 289-1880
- Fax
- (956) 289-1873
- NPI assigned
- Aug 10, 2006
- 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
- Jaime Barrera, PHARMD
- Title
- VP
- Phone
- (956) 584-7772
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 25144 | TX | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
4630 S Closner Blvd
Edinburg, TX 78539-7279
Mailing address
4630 S Closner Blvd
Edinburg, TX 78539-7279
Phone (956) 289-1880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145695 | Medicaid | TX | |
| 2099431 | Other | PK |
Other names 1
- Richard's Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090612000279 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 6709936776 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Alton, TX |
| O20100930020791 | TX | DME Supplier - Pharmacy | 6709936776 | Practice locations: Edinburg, TX |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Richard's Pharmacy
- Community/Retail Pharmacy
- Alton, TX
- NPI 1881857407
6709936776
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Richard's Pharmacy
- Community/Retail Pharmacy
- Alton, TX
- NPI 1881857407
O20090612000279
National Provider Directory
National Provider DirectoryLocations
3521 W Freddy Gonzalez Dr
Ste A
Edinburg, TX 78539
Phone (956) 287-2477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602633600000",
"number": "1841201431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4630 S CLOSNER BLVD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785397279",
"telephone_number": "956-289-1880",
"fax_number": "956-289-1873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4630 S CLOSNER BLVD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785397279",
"telephone_number": "956-289-1880",
"fax_number": "956-289-1873"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARDS RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A",
"authorized_official_last_name": "BARRERA",
"authorized_official_first_name": "JAIME",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "956-584-7772",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "25144",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145695",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2099431",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Richard's Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Edinburg, TX
- RGV Vista Dental, PLLC (Vista Dental)
- Rgvmeds Pharmacy LLC (RGVMEDS Pharmacy)
- Rhize Urology PLLC
- Richards RX LLC (Richard's Pharmacy LTC)
- Richards RX LLC (Richard's Pharmacy)
- Clinton Jerome Richardson
- Jazlynn Richie
- Ridgepoint Medical Pharmacy, LLC (Apple Pharmacy #9)
- Ridgepoint Medical Pharmacy, LLC (Apple Pharmacy #9)
- Laura Fernanda Rincon-Rueda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.