Organization Active NPI

Richards RX LLC

Doing business as Richard's Pharmacy

  • Community/Retail Pharmacy
  • Edinburg, TX
National Provider Identifier
1841201431
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
25144 Issued in TX
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

Updated by the provider on Oct 14, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
145695MedicaidTX
2099431OtherPK

Other names 1

  • Richard's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 - PharmacyDME Supplier - Medical Supply Company 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).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.