Organization
EXPRESSWAY PHARMACY LLC
Active
Organization
EXPRESSWAY PHARMACY LLC
Active
Other names
Expressway Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO TREVINO (PIC)
(956) 464-7600
Entity
Organization
Contact information
Practice address
702 E EXPRESSWAY 83, STE A1, DONNA, TX 78537-2741
(956) 464-7600
(956) 464-7601
Mailing address
702 E EXPRESSWAY 83, STE A1, DONNA, TX 78537-2741
(956) 464-7600
(956) 464-7601
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
26226
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4550302
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/23/2008
Last updated
11/07/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up