Active NPI
Paloma'S Pharmacy,LLC
- Community/Retail Pharmacy
- Mission, TX
National Provider Identifier
1871882886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 27433
- Legal business name
- PALOMA'S PHARMACY,LLC
- Doing business as
- Apple Pharmacy #3
- Practice address
- 909 Business Park Dr Ste 2
Mission, TX 78572-6054 - Phone
- (956) 424-6268
- Fax
- (956) 424-6258
- NPI assigned
- Mar 30, 2011
- 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
- Mr. Jose A Vela, PHARM.D, R.PH.
- Title
- Corp-President
- Phone
- (956) 821-2886
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 27433 | TX | Primary |
Addresses
Primary practice location
909 Business Park Dr Ste 2
Mission, TX 78572-6054
Mailing address
909 Business Park Dr
Mission, TX 78572-6052
Phone (956) 424-6268
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146386 | Medicaid | TX |
Other names 1
- Apple Pharmacy #3
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111227000558 | TX | Part B Supplier - Pharmacy | 3870769706 | Practice locations: Mission, TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Mission, TX
- NPI 1013950484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589241600000",
"number": "1871882886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 BUSINESS PARK DR",
"city": "MISSION",
"state": "TX",
"postal_code": "785726052",
"telephone_number": "956-424-6268",
"fax_number": "956-424-6258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 BUSINESS PARK DR STE 2",
"city": "MISSION",
"state": "TX",
"postal_code": "785726054",
"telephone_number": "956-424-6268",
"fax_number": "956-424-6258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALOMA'S PHARMACY,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-30",
"last_updated": "2020-05-12",
"certification_date": "2020-05-12",
"status": "A",
"authorized_official_last_name": "VELA",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CORP-PRESIDENT",
"authorized_official_telephone_number": "956-821-2886",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARM.D, R.PH."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "27433",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146386",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Apple Pharmacy #3",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mission, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.