Provider Demographics
NPI:1164617585
Name:J & B PHARMACARE LLC
Entity Type:Organization
Organization Name:J & B PHARMACARE LLC
Other - Org Name:LINO'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER,PHARMACIST,AO
Authorized Official - Prefix:
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:
Authorized Official - Last Name:RIOS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
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:956-849-1811
Mailing Address - Fax:956-849-3843
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?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261Q00000X, 332B00000X, 332BP3500X
TX257143336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX148012Medicaid
2100344OtherPK
6067470001Medicare NSC