Provider Demographics
NPI:1609951995
Name:PILL BOX INC
Entity Type:Organization
Organization Name:PILL BOX INC
Other - Org Name:BANK PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:PINON
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:915-562-4000
Mailing Address - Street 1:4000 MONTANA AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79903-4510
Mailing Address - Country:US
Mailing Address - Phone:915-562-4000
Mailing Address - Fax:915-562-4517
Practice Address - Street 1:4000 MONTANA AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79903-4510
Practice Address - Country:US
Practice Address - Phone:915-562-4000
Practice Address - Fax:915-562-4517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336C0004X, 3336L0003X
TX018563336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX142405Medicaid
2096023OtherPK
0806110001Medicare NSC