Healthcare Provider Details

I. General information

NPI: 1700131612
Provider Name (Legal Business Name): MICHAEL PAUL MUNIZ PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2012
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 S 77 SUNSHINESTRIP STE F
HARLINGEN TX
78550-7450
US

IV. Provider business mailing address

421 S 77 SUNSHINESTRIP STE F
HARLINGEN TX
78550-7450
US

V. Phone/Fax

Practice location:
  • Phone: 956-230-5565
  • Fax: 800-748-1238
Mailing address:
  • Phone: 956-230-5565
  • Fax: 800-748-1238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number52305
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code1835N1003X
TaxonomyNutrition Support Pharmacist
License Number52305
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number52305
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number52305
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number52305
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: