Medical Mart & DME
Organization Active NPI Community/Retail Pharmacy · Alton, TX
NPI 1912367335 · NPPES record last updated Apr 15, 2016
Key facts
- NPI
- 1912367335
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 30680 (TX)
- Legal business name
- MEDICAL MART & DME
- Practice address
- 1315 W Main Ave Ste 12
Alton, TX 78573-1643 - Phone
- (956) 424-3535
- Fax
- (956) 424-3599
- NPI assigned
- Feb 26, 2016
- Organization subpart
- No
Authorized official
- Name
- William Fatanthony
- Title
- Pic
- Phone
- (956) 424-3535
Practitioners 1
National Provider Directory
Locations
1315 W Main Ave
Ste 12
Alton, TX 78573
Phone (956) 424-3535
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Dialysis Equipment & Supplies (DME) | 332BD1200X | |||
| Nursing Facility Supplies (DME) | 332BN1400X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 30680 | TX | Yes |
| Compounding Pharmacy | 3336C0004X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
1315 W Main Ave Ste 12
Alton, TX 78573-1643
Mailing address
3401 W Mile 5 Rd
Suite 2
Mission, TX 78574-5313
Phone (956) 424-3535
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2158331 | Other | PK | |
| 146638 | Medicaid | TX |
Other names
- Health Plus Pharmacy
Other providers in Alton, TX
- Christopher Javier Martinez
- Cynthia Martinez
- Elainie Marlene Martinez
- Jerry Martinez
- Marco A Martinez
- Melissa Isabel Medina
- Heidi Janette Mendez
- Mi Hermoso Valle Adult Day Care, L.L.C.
- Anna L Mills
- Frank A Mora
All providers in Alton, TX · Community/Retail Pharmacy in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.