Dji Pharmacy Services LLC

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

Legal business name

DJI PHARMACY SERVICES LLC

Practice address

12025 Rojas Dr Ste I
El Paso, TX 79936-7721

Phone

(915) 910-7070

Fax

(915) 910-4607

NPI assigned

Dec 9, 2022

Organization subpart

No

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

Authorized official

Name

Daniel J. Irwin, PHARMACISTSNPI 1295195949

Title

Owner

Phone

(915) 910-7070

Specialties & licenses 5

Addresses

Other names 1

• Vital Care of Sun City Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel James Irwin, PHARM D

  • Pharmacist
  • Jonesboro, AR
  • NPI 1295195949
  NPD Authorized official
• Alexis Noelle Betancourt, PHARMD

  • Pharmacist
  • El Paso, TX
  • NPI 1861297459
  NPD
• Rafael Angel Andazola Delgado, PHARMD

  • Pharmacist
  • El Paso, TX
  • NPI 1609710219
  NPD (past)

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1851002976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12025 ROJAS DR STE I",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367721",
            "telephone_number": "915-910-7070",
            "fax_number": "915-910-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12025 ROJAS DR STE I",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367721",
            "telephone_number": "915-910-7070",
            "fax_number": "915-910-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJI PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "IRWIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-910-7070",
        "authorized_official_credential": "PHARMACISTS"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care of Sun City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in El Paso, TX
• Home Infusion Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.