SOUTH TEXAS PHARMACY GROUP LLC (NPI# 1306107073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306107073 |
| Entity Type | Organization |
| Organization Name | SOUTH TEXAS PHARMACY GROUP LLC |
| Other Organization Name | LAKESIDE PHARMACY SOUTH |
| Practice Address |
4151 Jaime Zapata Memorial Hwy Ste 208 Laredo TX 78043-4782 |
| Mailing Address |
4151 Bob Bullock Loop Ste 208 Laredo TX 78043-4782 |
| Practice Telephone | 9567242090 |
| Practice Fax Number | 9567242170 |
| Mailing Telephone | 9567242090 |
| Mailing Fax Number | 9567242170 |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2015-10-29 |
| Authorized Official Name | TOM CONTRERAS (OWNER/MGR/PHCY TECH) |
| Authorized Official Telephone | 9567256337 |
| 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 |
28345 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2136707 | 01 | |
| TX | 146700 | 05 |
| Other Name | Type Code |
|---|---|
| Lakeside Pharmacy South | Doing Business As Name - Organization |
| Street Address |
4151 JAIME ZAPATA MEMORIAL HWY STE 208 |
| City | LAREDO |
| State | TX |
| Zip Code | 78043-4782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083080162 | Cks Healthcare /inc. | Pharmacy | 4151 Jaime Zapata Memorial Hwy Ste 208, Laredo, TX 78043-4782 | 2015-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992310973 | Fernando Castaneda Md Pa | Pediatrics | 4151 Jaime Zapata Hwy Suite 102, Laredo, TX 78043 | 2020-09-15 |
| 1821466178 | Stat Emergency Center LLC | Clinic/Center | 1023 Bob Bullock Loop, Laredo, TX 78043 | 2015-09-03 |
| 1033546601 | Dm Casemanagement Services | Social Worker | 1115 Chihuahua, Suite C, Laredo, TX 78043 | 2013-09-27 |
| 1902239122 | Joann Shin Dds Corporation | Dentist | 2420 Bob Bullock Loop, Laredo, TX 78043 | 2013-08-12 |
| 1851630123 | Mirta Guajardo | Occupational Therapy Assistant | 3210 Loop 20 Ste. 5, Laredo, TX 78043 | 2013-02-06 |
| 1073862744 | Miriam Elisabeth Pelto | Occupational Therapist | 3507 Jaime Zapata Memorial Highway, Ste. 10-b, Laredo, TX 78043 | 2012-09-10 |
| 1447542386 | M & R Management LLC | Respite Care | 2801 E. Montgomery, Suite 205, Laredo, TX 78043 | 2011-05-11 |
| 1275831125 | Diana Y Sanchez | Speech-Language Pathologist | 3210 Bob Bullock Loop, Bldg A Ste 4, Laredo, TX 78043 | 2011-03-02 |
| 1649591546 | Palomitas 'r' Us Inc. | Homemaker | 7220 A Bob Bullock Loop Suite 302, Laredo, TX 78043 | 2010-06-15 |
| 1104092121 | Juan E. Perez | Occupational Therapy Assistant | 3507 Jaime Zapata Memorial Hwy Ste 1and2, Laredo, TX 78043 | 2008-04-30 |
| Find all providers in zip 78043 | ||||
| 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 |
|---|---|---|---|---|
| 1396361556 | Oncology & Hematology of South Texas Pa | Pharmacy | 2344 Laguna Del Mar Ct Ste 202, Laredo, TX 78041-3469 | 2020-06-23 |
| 1982787362 | Rx Herrera Pharmacy, Inc. | Pharmacy | 1801 Gust St, Suite # 1, Laredo, TX 78041-5414 | 2006-10-22 |
| 1659391159 | L R Inc | Pharmacy | 2100 Corpus Christi St, Suite 9, Laredo, TX 78043-3398 | 2006-07-20 |
| 1871537183 | Rx Herrera Pharmacy, Inc | Pharmacy | 3521 Bob Bullock Loop, Ste 1, Laredo, TX 78043 | 2006-06-16 |
| 1720545221 | Uzo Neighborhood Pharmacy Inc. | Pharmacy | 6801 Mcpherson Rd Ste 112, Laredo, TX 78041-6403 | 2019-02-21 |
| 1538239835 | Gateway Community Health Center, Inc. | Pharmacy | 1515 Pappas St, Laredo, TX 78041-1705 | 2006-11-08 |
| 1184700205 | Gateway Community Health Center, Inc. | Pharmacy | 2007 S Zapata Hwy, Laredo, TX 78046-6510 | 2006-10-31 |
| 1306920053 | Gateway Community Health Center, Inc. | Pharmacy | 1515 Pappas St, Laredo, TX 78041-1705 | 2006-10-25 |
| 1811099799 | Cvs Pharmacy, Inc | Pharmacy | 3527 Jaime Zapata Memorial Hwy, Ste 102, Laredo, TX 78043-4788 | 2006-09-02 |
| 1922028422 | L R Inc | Pharmacy | 6801 Mcpherson Rd, Suite 102, Laredo, TX 78041-6402 | 2006-07-20 |
| Find all providers in LAREDO | ||||
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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.