LUNA'S HOMETOWN PHARMACY, INC (NPI# 1548372568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548372568 |
| Entity Type | Organization |
| Organization Name | LUNA'S HOMETOWN PHARMACY, INC |
| Practice Address |
400 E Main St Eagle Pass TX 78852-4517 |
| Practice Telephone | 8307735334 |
| Mailing Telephone | 8307735334 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL LUNA (MANAGER) |
| Authorized Official Telephone | 8307735334 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 183500000X | Pharmacist | 34092 | TX | Pharmacy Service Providers |
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | 20529 | TX | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
20529 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | NCPDP | 4518811 | 01 |
| TX | STATE LICENSE NUMBER | 20529 | 01 |
| TX | 145006 | 05 | |
| TX | DEA NUMBER | BL6960187 | 01 |
| TX | DPS-DEPARTMENT OF PUBLIC | YO117139 | 01 |
| Street Address |
400 E MAIN ST |
| City | EAGLE PASS |
| State | TX |
| Zip Code | 78852-4517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782976 | Yariann Esther Rodriguez | Counselor | 2267 North Veteran Boulevard, Apt. 23, Eagle Pass, TX 78852 | 2020-02-12 |
| 1225688583 | Access Podiatry Center, LLC | Podiatrist | 2703 Stone Hedge, Eagle Pass, TX 78852 | 2019-09-18 |
| 1750944013 | Maria Liza Blessett | Physical Therapist | 1615 S Veterans Blvd, Eagle Pass, TX 78852 | 2019-04-22 |
| 1861055725 | Superior Plus Ambulance LLC | Ambulance | 2296 N Veterans Blvd, Eagle Pass, TX 78852 | 2019-04-17 |
| 1134685480 | Connoisseur Health Pros, LLC | Physical Therapy Assistant | 1615 S. Veterans Blvd., Eagle Pass, TX 78852 | 2019-02-12 |
| 1932601812 | Laura Rene Valdes | Speech-Language Pathologist | 300 Adams, Suite 7, Eagle Pass, TX 78852 | 2018-03-06 |
| 1861941494 | Eagle Pass Er LLC | Clinic/Center | 2114 N Veterans Blvd, Eagle Pass, TX 78852 | 2016-09-23 |
| 1285182600 | Eagle Pass II Enterprises, LLC | Skilled Nursing Facility | 3333 Bob Rogers Dr, Eagle Pass, TX 78852 | 2016-09-14 |
| 1063898278 | Lilia Irene Esquivel | Pharmacist | 2341 East Main St., Eagle Pass, TX 78852 | 2015-08-11 |
| 1700260494 | Cynthia Barrera | Pharmacist | 2341 East Main, Eagle Pass, TX 78852 | 2015-07-13 |
| Find all providers in zip 78852 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063898278 | Lilia Irene Esquivel | Pharmacist | 2341 East Main St., Eagle Pass, TX 78852 | 2015-08-11 |
| 1700260494 | Cynthia Barrera | Pharmacist | 2341 East Main, Eagle Pass, TX 78852 | 2015-07-13 |
| 1487719290 | Frank Castaneda | Pharmacist | 1763 E Garrison St, Eagle Pass, TX 78852-5016 | 2006-12-22 |
| 1487254025 | Anita Rosalinda Ramos | Pharmacist | 496 S Bibb Ave, Eagle Pass, TX 78852-5063 | 2020-10-30 |
| 1629678883 | Rafael Christian Vidal Jr. | Pharmacist | 496 S Bibb Ave, Eagle Pass, TX 78852-5063 | 2020-10-27 |
| 1891395257 | Daniel Armando Arreola | Pharmacist | 496 S Bibb Ave, Eagle Pass, TX 78852-5063 | 2020-10-27 |
| 1184234452 | Elizabeth Vela | Pharmacist | 2135 E Main St, Eagle Pass, TX 78852-4895 | 2020-08-03 |
| 1962744532 | Marie Diane Bazaldua | Pharmacist | 2135 E Main St, Eagle Pass, TX 78852-4895 | 2013-03-21 |
| 1639419732 | Jose Angel Jimenez Jr. | Pharmacist | 2135 E Main St, Eagle Pass, TX 78852-4895 | 2013-02-26 |
| 1396054698 | Vanessa Carrillo | Pharmacist | 2135 E Main St, Eagle Pass, TX 78852-4895 | 2010-10-04 |
| Find all providers in EAGLE PASS | ||||
| City | EAGLE PASS |
| Zip Code | 78852 |
Please comment or provide details below to improve the information on LUNA'S HOMETOWN PHARMACY, INC.
| 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.