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RIO GRANDE PHARMACY, LLC
NPI 1659932267
Pharmacy - Community/Retail Pharmacy in El Paso, TX

Active since June 25, 2019CLIA 45D2174437 · Waiver
5500 DONIPHAN DR. STE 201-202, EL PASO, TX 79932(915) 260-8555(915) 304-0374 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2024, Jul 18, 2024, Mar 11, 2020 and 1 more (4 updates tracked since 2019).

About Rio Grande Pharmacy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIO GRANDE PHARMACY, LLC (NPI 1659932267) is a healthcare organization registered as a community/retail pharmacy in El Paso, Texas and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through October 30, 2027 and lists Daniel Demock, Ceo, as its authorized official.

NPPES Registry Identity

NPI1659932267
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameRIO GRANDE PHARMACY, LLC
Location Address5500 DONIPHAN DR. STE 201-202El Paso, TX 79932
Mailing Address5500 Doniphan Dr. Ste 201-202El Paso, TX 79932 · (915) 260-8555 · Fax (915) 304-0374
Phone(915) 260-8555
Fax(915) 304-0374
Organization SubpartNo
Authorized OfficialDaniel DemockCeo · (915) 260-8555
Enumeration DateJune 25, 2019
Last NPPES UpdateAugust 6, 20244 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
✔ NPI 1659932267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
5500 DONIPHAN DR. STE 201-202, El Paso, TX 79932
Open in Google Maps ↗

Other Names 2

Former Legal Business NameRio Grande Pharmacy, Llc
Doing Business AsRio Grande Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2174437

Rio Grande Pharmacy LLC · El Paso, TX
Active · expires Oct 30, 2027
CLIA Number45D2174437
Laboratory TypePharmacy
Certificate Effective DateOctober 31, 2025
Certificate Expiration DateOctober 30, 2027
Laboratory DirectorDaniel S. Demock
Laboratory Phone(915) 260-8555
Laboratory LocationRio Grande Pharmacy LLC5500 Doniphan Dr. Ste. 201, El Paso, TX 79932
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
213 services212 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
180 services180 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
12 services12 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Rio Grande Pharmacy LLC carries, from the Medicare DMEPOS supplier directory.

Rio Grande Pharmacy LLC

DMEPOS supplier · El Paso, TX
⋮

Does not accept Medicare assignment

Rio Grande Pharmacy LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)21609699
Medicare Participant SinceDecember 1, 2019
Supplier Location5500 Doniphan Dr Ste 201-202El Paso, TX 79932
Phone(915) 260-8555
Supplier Specialties
Certified Other Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rio Grande Pharmacy, LLC's NPI number?

The NPI number for Rio Grande Pharmacy, LLC is 1659932267. It was assigned to this organization in the NPPES registry on June 25, 2019. The provider is doing business as Rio Grande Pharmacy.

Where is Rio Grande Pharmacy, LLC located?

Rio Grande Pharmacy, LLC is located at 5500 Doniphan Dr. Ste 201-202, El Paso, TX 79932. The listed phone number is (915) 260-8555.

What is Rio Grande Pharmacy, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Rio Grande Pharmacy, LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Rio Grande Pharmacy LLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Rio Grande Pharmacy, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2174437) is associated with this NPI, valid through October 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rio Grande Pharmacy, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 52 other insurers list Rio Grande Pharmacy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rio Grande Pharmacy, LLC was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.