SPENCER BROTHERS PHARMACY (NPI# 1255514287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255514287 |
| Entity Type | Organization |
| Organization Name | SPENCER BROTHERS PHARMACY |
| Other Organization Name | SPENCER BROTHERS PHARMACY |
| Practice Address |
3022 Trawood Dr El Paso TX 79936-4329 |
| Practice Telephone | 9158863373 |
| Practice Fax Number | 9158863328 |
| Mailing Telephone | 9158863373 |
| Mailing Fax Number | 9158863328 |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2011-02-14 |
| Authorized Official Name | ALFONSO SOSA (PHARMACIST) |
| Authorized Official Telephone | 9158863373 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
25571 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4546531 | 01 |
| Other Name | Type Code |
|---|---|
| SPENCER BROTHERS PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962686741 | Spencer Brothers Pharmacy | Pharmacy | 803 O'reilly, Presidio, TX 79845 | 2007-12-28 |
| Street Address |
3022 TRAWOOD DR |
| City | EL PASO |
| State | TX |
| Zip Code | 79936-4329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154325603 | Louie Leyva | Nurse Practitioner | 3022 Trawood Dr, El Paso, TX 79936-4329 | 2005-06-10 |
| 1245601459 | Montwood Family Medical Center | Clinic/Center | 3022 Trawood Dr, El Paso, TX 79936-4329 | 2015-10-14 |
| 1689007718 | East-side Oncology Clinic, Pllc | Clinic/Center | 3022 Trawood Dr, B, El Paso, TX 79936 | 2013-08-13 |
| 1891036661 | Randy P Maestre | Physical Therapy Assistant | 3022 Trawood Dr, Ste. B, El Paso, TX 79936-4329 | 2013-03-04 |
| 1356680433 | Michelle Gonzalez | Physical Therapist | 3022 Trawood Dr, Ste. B, El Paso, TX 79936-4329 | 2013-02-08 |
| 1720254790 | Curtis Hoppe | Counselor | 3022 Trawood Dr, El Paso, TX 79936-4329 | 2008-04-30 |
| 1952572166 | Vivian Villarreal | Nurse Practitioner | 3022 Trawood Dr, El Paso, TX 79936-4329 | 2008-03-14 |
| 1851423990 | Dr Ajai J Agarwal Md Pa | Preferred Provider Organization | 3022 Trawood Dr, El Paso, TX 79936-4329 | 2007-03-12 |
| 1437240256 | Ajai Agarwal | Family Medicine | 3022 Trawood Dr, Ste A, El Paso, TX 79936-4329 | 2006-09-27 |
| 1750489043 | Victor Songbandith | Family Medicine | 3022 Trawood Dr, El Paso, TX 79936-4329 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 1346889953 | Georges Chiropractic and Wellness Center, Pa | Chiropractor | 1400 N Zaragosa Suite D, El Paso, TX 79936 | 2019-12-30 |
| 1316597768 | Larry Felix | Specialist/Technologist | 11720 Teachers Dr., El Paso, TX 79936 | 2019-09-18 |
| 1508323486 | Aaron John Palos | Pharmacist | 11320 Montwood, Pharmacy, El Paso, TX 79936 | 2019-02-27 |
| 1366919508 | Katrina Belvin | Social Worker | 1390 Georger Dieter Dr., #140, El Paso, TX 79936 | 2018-10-25 |
| 1063993244 | Assisted Living | Meals | 11065 Tom Weiskopf Dr, El Paso, TX 79936 | 2018-08-24 |
| 1588142962 | Miriam Salazar | Occupational Therapy Assistant | 1351 James Watt Dr., El Paso, TX 79936 | 2018-07-30 |
| 1902315179 | David Galindo | Occupational Therapist | 1415 Zaragoza, El Paso, TX 79936 | 2017-09-20 |
| 1861915589 | Lizette Salcido | Behavior Technician | 3221 Running Deer Dr., El Paso, TX 79936 | 2017-07-25 |
| 1659801264 | Edith Nneoma Vincent | Registered Nurse | 11829 Gwen Evans Ln, El Paso, TX 79936 | 2017-06-15 |
| Find all providers in zip 79936 | ||||
| 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.