New Moon Express Service Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NEW MOON EXPRESS SERVICE CORP

Practice address

1313 W Polk Ave Ste 19
Pharr, TX 78577-2141

Phone

(956) 781-4600

Fax

(956) 781-4678

NPI assigned

Feb 8, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Ana Gloria Berra

Title

President

Phone

(956) 331-0151

Specialties & licenses 1

Addresses

Other names 1

• NEW MOON EXPRESS SERVICE CORP Former legal business name

Locations

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1982936456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 W POLK AVE STE 19",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785772141",
            "telephone_number": "956-781-4600",
            "fax_number": "956-781-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 W POLK AVE STE 19",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785772141",
            "telephone_number": "956-781-4600",
            "fax_number": "956-781-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MOON EXPRESS SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "BERRA",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "GLORIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-331-0151",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW MOON EXPRESS SERVICE CORP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Pharr, TX
• Providers in Pharr, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.