NPI Code Detail JSON Logo

1356135529 NPI number — LA CLINICA DEL PUEBLO, INC.

NPI Number: 1356135529
Health Care Provider/Practitioner: LA CLINICA DEL PUEBLO, INC.

Information about “1356135529” NPI (LA CLINICA DEL PUEBLO, INC.) exists in 1356135529 in HTML format HTML  |  1356135529 in plain Text format TXT  |  1356135529 in PDF (Portable Document Format) PDF  |  1356135529 in an XML format XML  formats.

NPI Number : 1356135529 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356135529",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LA CLINICA DEL PUEBLO, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "320 S POLK ST STE 200",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AMARILLO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "79101-1436",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "806-242-7782",
    "MailingAddressFaxNumber": "806-324-5495",
    "FirstLinePracticeLocationAddress": "2831 15TH ST NW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WASHINGTON",
    "PracticeLocationAddressStateName": "DC",
    "PracticeLocationAddressPostalCode": "20009-4607",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "806-242-7782",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/04/2025",
    "LastUpdateDate": "04/04/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WRIGHT",
    "AuthorizedOfficialFirstName": "JOEL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT PHARMACY SERVICES",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "806-242-7782",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3336C0003X",
        "TaxonomyName": "Community/Retail Pharmacy",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.