Rengar Enterprises, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

22770 Issued in TX

Legal business name

RENGAR ENTERPRISES, LLC

Practice address

4203 James Casey
Austin, TX 78745

Phone

(512) 444-4938

Fax

(512) 444-4424

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Rene F. Garza, PHARMD

Title

Owner

Phone

(512) 707-2300

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• S & S Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1861581597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W WILLIAM CANNON DR",
            "address_2": "SUITE 203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455281",
            "telephone_number": "512-707-2300",
            "fax_number": "512-707-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 JAMES CASEY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78745",
            "telephone_number": "512-444-4938",
            "fax_number": "512-444-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENGAR ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-707-2300",
        "authorized_official_name_prefix": "Mr.",
        "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": "22770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145314",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "4527985",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S & S Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Taylor Lynn Renko, RD, LDN
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• Adam Renner, PHARMD

• Community/Retail Pharmacy in Austin, TX
• Providers in Austin, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.