NPIMap

Organization Active NPI

Pedro Manuel Yzaguirre Jr

  • Durable Medical Equipment & Medical Supplies
  • Brownsville, TX
National Provider Identifier
1902129182
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PEDRO MANUEL YZAGUIRRE JR
Practice address
5235 Southmost Rd
Suite C
Brownsville, TX 78521-8052
Phone
(956) 504-9555
Fax
(956) 504-9910
NPI assigned
Mar 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Authorized official

Name
Mr. Pedro Manuel Yzaguirre Jr.
Title
Owner/Staff Pharmacist
Phone
(956) 343-2424

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Community/Retail Pharmacy 3336C0003X 26824 TX
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

5235 Southmost Rd
Suite C
Brownsville, TX 78521-8052

Mailing address

5235 Southmost Rd
Suite C
Brownsville, TX 78521-8052
Phone (956) 504-9555

Other identifiers 1

IdentifierTypeStateIssuer
4555011OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • PETE'S PHARMACY II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pedro Manuel Yzaguirre Jr3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1902129182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5235 SOUTHMOST RD",
            "address_2": "SUITE C",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785218052",
            "telephone_number": "956-504-9555",
            "fax_number": "956-504-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5235 SOUTHMOST RD",
            "address_2": "SUITE C",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785218052",
            "telephone_number": "956-504-9555",
            "fax_number": "956-504-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO MANUEL YZAGUIRRE JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "YZAGUIRRE",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "OWNER/STAFF PHARMACIST",
        "authorized_official_telephone_number": "956-343-2424",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26824",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4555011",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PETE'S PHARMACY II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.