Organization Active NPI

Tigua Pharmacy Inc

  • Community/Retail Pharmacy
  • El Paso, TX
National Provider Identifier
1861532368
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
19194 Issued in TX
Legal business name
TIGUA PHARMACY INC
Practice address
8269 N Loop Dr
El Paso, TX 79907-4234
Phone
(915) 590-2800
Fax
(915) 590-3693
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Yohannes Berehane, RPH
Title
Owner (Pic )
Phone
(915) 590-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 19194 TX Primary

Addresses

Primary practice location

8269 N Loop Dr
El Paso, TX 79907-4234

Mailing address

8269 N Loop Dr
El Paso, TX 79907-4234
Phone (915) 590-2800

Other identifiers 1

IdentifierTypeStateIssuer
012338MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861532368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8269 N LOOP DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799074234",
            "telephone_number": "915-590-2800",
            "fax_number": "915-590-3693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8269 N LOOP DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799074234",
            "telephone_number": "915-590-2800",
            "fax_number": "915-590-3693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIGUA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEREHANE",
        "authorized_official_first_name": "YOHANNES",
        "authorized_official_title_or_position": "OWNER (PIC )",
        "authorized_official_telephone_number": "915-590-2800",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "19194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012338",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • 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.