GRACE PHARMACY NPI 1407682784

NPI Information

  • NPI: 1407682784
  • Provider Name: GRACE PHARMACY
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Address: 11140 LA QUINTA PL #101A
    EL PASO, TX
    ZIP 79936
  • Phone: (915) 593-0603

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NPI Details

GRACE PHARMACY is a pharmacy in El Paso, TX. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. GRACE PHARMACY NPI is 1407682784. The provider is registered as an organization entity type.

The provider's business location address is:

11140 LA QUINTA PL #101A
EL PASO, TX
ZIP 79936
Phone: (915) 593-0603
Fax: (915) 593-3378

The provider's authorized official is Chigozie Gilbert Oguh .
The authorized official title is (pic) Owner and has the following contact phone number (915) 593-0603.

The enumeration date for this NPI number is 9/12/2024 and was last updated on 9/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1149185MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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