Healthcare Provider Details

I. General information

NPI: 1467267567
Provider Name (Legal Business Name): RIDGEPOINT MEDICAL PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2025
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
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 Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOSE G VARGAS
Title or Position: VICE-PRESIDENT
Credential:
Phone: 956-534-6990