Healthcare Provider Details

I. General information

NPI: 1770580417
Provider Name (Legal Business Name): RIDGEPOINT MEDICAL PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 06/12/2024
Certification Date: 06/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 S VETERANS BLVD STE C
EDINBURG TX
78539-4721
US

IV. Provider business mailing address

404 S VETERANS BLVD STE C
EDINBURG TX
78539-4721
US

V. Phone/Fax

Practice location:
  • Phone: 956-393-2000
  • Fax: 956-393-2010
Mailing address:
  • Phone: 956-393-2000
  • Fax: 956-393-2010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOSE ALBERTO VELA
Title or Position: C.E.O./PRESIDENT
Credential: PHARM.D., R.PH.
Phone: 956-821-2886