DE-VINE PHARMACY INC (NPI# 1114146420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114146420 |
| Entity Type | Organization |
| Organization Name | DE-VINE PHARMACY INC |
| Other Organization Name | DE VINE PHARMACY |
| Practice Address |
840 E Redd Rd El Paso TX 79912-7264 |
| Mailing Address |
840 E Redd Rd Bldg #1a El Paso TX 79912-7264 |
| Practice Telephone | 9158457600 |
| Practice Fax Number | 9158457601 |
| Mailing Telephone | 9158457600 |
| Mailing Fax Number | 9158457601 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2010-06-30 |
| Authorized Official Name | IFEYINWA E (OWNER/PRESIDENT) |
| Authorized Official Telephone | 9158457600 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
25508 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4544599 | 01 | |
| TX | 145802 | 05 |
| Other Name | Type Code |
|---|---|
| DE VINE PHARMACY | Doing Business As Name - Organization |
| Street Address |
840 E REDD RD |
| City | EL PASO |
| State | TX |
| Zip Code | 79912-7264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649278276 | Juan Rodrigo Perez | Family Medicine | 840 E Redd Rd, Bldg. 2, El Paso, TX 79912-7221 | 2005-07-08 |
| 1922285493 | Connor Family Dentistry | Dentist | 840 E Redd Rd, Bldg 1-b, El Paso, TX 79912-7264 | 2008-01-28 |
| 1861614695 | Ifeyinwa E Nwosu | Pharmacist | 840 E Redd Rd, Bldg # 1a, El Paso, TX 79912-7264 | 2007-05-02 |
| 1639223217 | Westside Family Medicine | Family Medicine | 840 E Redd Rd, Bldg 4, El Paso, TX 79912-7221 | 2007-01-22 |
| 1235162660 | Monica Suchoff, M.d., P.a. | Pediatrics | 840 E Redd Rd, Bldg. 3, El Paso, TX 79912-7221 | 2006-07-09 |
| 1770516106 | Monica L. Suchoff | Pediatrics | 840 E Redd Rd, Bldg. 3, El Paso, TX 79912-7221 | 2006-07-09 |
| 1518938687 | Sandra Rocha | Family Medicine | 840 E Redd Rd, Bldg 4, El Paso, TX 79912-7221 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903801 | Cristina Valerie Quinones | Registered Nurse | 444 Executive Blvd., Suite 148, El Paso, TX 79912 | 2020-08-20 |
| 1528698255 | Thomas Wayne Woo Sr. | Physical Therapist | 7430 Remcon Circle Bldg A, El Paso, TX 79912 | 2020-01-22 |
| 1760030290 | Susan De La Cruz | Nurse Practitioner | 6600 N Dessert Blvd, El Paso, TX 79912 | 2019-08-28 |
| 1558925438 | Smiles 4 Less Orthodontics, P.a. | Dentist | 7480 Remcon Cir, El Paso, TX 79912 | 2019-04-26 |
| 1831669423 | Jorge Lorenzo Soto | Occupational Therapy Assistant | 4700 N. Mesa St. F-4, El Paso, TX 79912 | 2018-11-27 |
| 1811464126 | Paloma Herrera | Spec/Tech, Health Info | 200 N Festival, El Paso, TX 79912 | 2018-10-25 |
| 1265910178 | Texas Kids Dental Care West Pa | Clinic/Center | 7480 Remcon, El Paso, TX 79912 | 2018-08-02 |
| 1528555463 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 7831 Paseo Del Norte Blvd, Ste A, El Paso, TX 79912 | 2018-04-17 |
| 1679078927 | Kassandra Ashley Wright | Registered Nurse | 330 Bartlett Dr. Apt 2002, El Paso, TX 79912 | 2018-03-28 |
| 1013410802 | Maranatha Physical Medicine & Rehabilitation, Pllc | Physical Medicine & Rehabilitation | 7100 Westwind Dr Ste 155, El Paso, TX 79912 | 2018-03-17 |
| Find all providers in zip 79912 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942862164 | Larjems Investments LLC | Pharmacy | 1568 Joe Battle Blvd Ste 107, El Paso, TX 79936-8905 | 2019-07-09 |
| 1659932267 | Rio Grande Pharmacy, LLC | Pharmacy | 5500 Doniphan Dr. Ste 201-202, El Paso, TX 79932 | 2019-06-25 |
| 1326514233 | Amerkian,inc. | Pharmacy | 4501 Hercules Ave Ste B, El Paso, TX 79904-3310 | 2018-10-18 |
| 1023561487 | East El Paso Physicians' Medical Center, LLC | Pharmacy | 1400 George Dieter Dr Ste 190, El Paso, TX 79936-7656 | 2016-08-02 |
| 1770973406 | Pro Kima, LLC | Pharmacy | 1891 N Lee Trevino Dr Ste 200, El Paso, TX 79936-4132 | 2015-02-03 |
| 1003226093 | Wal-mart Stores Texas LLC | Pharmacy | 101 E Redd Rd, El Paso, TX 79932-1981 | 2014-04-30 |
| 1518213255 | Cvs Pharmacy Inc | Pharmacy | 1901 George Dieter Dr, El Paso, TX 79936-3855 | 2012-07-31 |
| 1861532368 | Tigua Pharmacy Inc | Pharmacy | 8269 N Loop Dr, El Paso, TX 79907-4234 | 2007-02-07 |
| 1194887349 | Alameda Thrifty Pharmacy Inc | Pharmacy | 4900 Alameda Ave, El Paso, TX 79905-2802 | 2006-12-14 |
| 1609952621 | Cvs Pharmacy Inc | Pharmacy | 745 N Zaragoza Rd, El Paso, TX 79907-4751 | 2006-10-31 |
| Find all providers in EL PASO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.