RIO GRANDE PHARMACY LLC NPI 1659932267

NPI Details

RIO GRANDE PHARMACY, LLC is a community/retail pharmacy pharmacy in El Paso, TX. The provider is 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. RIO GRANDE PHARMACY, LLC NPI is 1659932267. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Rio Grande Pharmacy, Llc.

The provider's business location address is:

5500 DONIPHAN DR. STE 201-202
EL PASO, TX
ZIP 79932
Phone: (915) 260-8555
Fax: (915) 304-0374

The provider's authorized official is Daniel Demock .
The authorized official title is Ceo and has the following contact phone number (915) 260-8555.

The CLIA number assigned to this NPI record is 45D2174437 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
• Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
• Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b (HCPCS:87636)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Covid-19 vaccine administration inside a patient's home; reported only once per individual home per date of service when only covid-19 vaccine administration is performed at the patient's home (HCPCS:M0201)

The enumeration date for this NPI number is 6/25/2019 and was last updated on 8/6/2024.

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: