Provider Demographics
NPI:1023665635
Name:J & B PHARMACARE LLC
Entity type:Organization
Organization Name:J & B PHARMACARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:
Authorized Official - Last Name:RIOS
Authorized Official - Suffix:JR
Authorized Official - Credentials:R PH
Authorized Official - Phone:956-849-1811
Mailing Address - Street 1:PO BOX 2947
Mailing Address - Street 2:
Mailing Address - City:ROMA
Mailing Address - State:TX
Mailing Address - Zip Code:78584-2947
Mailing Address - Country:US
Mailing Address - Phone:956-488-1811
Mailing Address - Fax:956-488-3843
Practice Address - Street 1:101 N FM 3167 STE 101-102
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-2080
Practice Address - Country:US
Practice Address - Phone:956-488-1811
Practice Address - Fax:956-488-1812
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:J & B PHARMACARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-20
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX148012Medicaid