DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PORT AVENUE DRUGS INC

MEDICARE: PORT AVENUE DRUGS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy24047TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24516691OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1679588214
Entity Type Code : Organization
Provider Name (Legal Business Name) : PORT AVENUE DRUGS INC
Provider Business Mailing Address
First Line : 913 S PORT AVE
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78405-2301
Country : US
Telephone Number : 361-883-8551
Fax Number : 561-883-5292
Provider Business Practice Location Address
First Line : 913 S PORT AVE
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78405-2301
Country : US
Telephone Number : 361-883-8551
Fax Number : 561-883-5292
Authorized Official
Title or Position : PRESIDENT
Name : DIANE SANCHEZ
Credential :
Telephone Number : 361-883-8551
Provider Enumeration Date : 07/30/2006
Last Update Date : 02/16/2010

Similar Medicare Providers

1396961561 — DR. MARSHA SMITH MD
Practice Location Address:
7500 SECURITY BOULEVARD , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21201-2301
Practice Phone: 410-786-6614
Practice Fax:
1255062329 — SONIA CAROLINA DEATON PA
Practice Location Address:
917 S PORT AVE
CORPUS CHRISTI, TX
78405-2301
Practice Phone: 361-887-0584
Practice Fax: 361-887-0586
1033146006 — SERGIO ANTONIO AVALOS M.D.
Practice Location Address:
917 S PORT AVE
CORPUS CHRISTI, TX
78405-2301
Practice Phone: 361-882-3639
Practice Fax: 361-882-2650
1376620781 — CARLOS B EVERETT, M.D.
Practice Location Address:
917 S PORT AVE
CORPUS CHRISTI, TX
78405-2301
Practice Phone: 361-887-0584
Practice Fax: 361-887-0586
1861723181 — DR. LAURA MCMURREY MCNAMARA D.O.
Practice Location Address:
917 S PORT AVE
CORPUS CHRISTI, TX
78405-2301
Practice Phone: 361-883-1879
Practice Fax: 361-883-1881
1689966780 — DR. RUBEN PEDRAZA JR. M.D.
Practice Location Address:
917 S PORT AVE
CORPUS CHRISTI, TX
78405-2301
Practice Phone: 361-883-1879
Practice Fax: 361-883-1881

Directions to “PORT AVENUE DRUGS INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.