NPIMap

Organization Active NPI

Pedro Manuel Yzaguirre

  • Pharmacy
  • Brownsville, TX
National Provider Identifier
1902951023
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
22719 Issued in TX
Legal business name
PEDRO MANUEL YZAGUIRRE
Practice address
4682 Lakeway Dr
Brownsville, TX 78520-9264
Phone
(956) 541-2400
Fax
(956) 541-2411
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Mr. Pedro Manuel Yzaguirre Jr., RPH
Title
Pharmacist Owner
Phone
(956) 541-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 22719 TX Primary

Addresses

Primary practice location

4682 Lakeway Dr
Brownsville, TX 78520-9264

Mailing address

4682 Lakeway Dr
Brownsville, TX 78520-9264
Phone (956) 541-2400

Other names 1

  • PETE PHARMACY 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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1902951023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4682 LAKEWAY DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785209264",
            "telephone_number": "956-541-2400",
            "fax_number": "956-541-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4682 LAKEWAY DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785209264",
            "telephone_number": "956-541-2400",
            "fax_number": "956-541-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO MANUEL YZAGUIRRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "YZAGUIRRE",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "956-541-2400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "22719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PETE PHARMACY",
            "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 Mar 18, 2015; 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.