NPI age
17 years
Enumerated 2008-09-08
● Active Type 2 · Organization
St Marie Clinic PA Pharmacy
St Marie Clinic PA Pharmacy is 1 of 5625 pharmacy organizations in Texas.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Carrillo
President
Last NPPES update
2009-02-11
Source: monthly bulk 2026-05
How this organization compares
Across 5625 active pharmacy providers in Texas.
NPI age
17 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-09Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
10900 N 103rd St
Mission, TX 785730979
Mailing address
10900 N 103rd St
Mission, TX 785730979
Authorized official
Eduardo Carrillo
President
📞 9565857401
Specialties
-
Pharmacy PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 4549486 | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
St Marie Clinic PA Pharmacy
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.