Provider Demographics
NPI:1851866412
Name:DINMA CARE PHARMACY DURABLE MEDICAL EQUIPMENT (DME) SERVICES LLC
Entity Type:Organization
Organization Name:DINMA CARE PHARMACY DURABLE MEDICAL EQUIPMENT (DME) SERVICES LLC
Other - Org Name:DINMA PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:ONYINYECHI
Authorized Official - Last Name:ORIEUKWU
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:956-601-2277
Mailing Address - Street 1:832 DEL ORO LANE STE. 1
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577
Mailing Address - Country:US
Mailing Address - Phone:956-601-2277
Mailing Address - Fax:956-601-2292
Practice Address - Street 1:832 DEL ORO LANE
Practice Address - Street 2:SUITE # 1
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577
Practice Address - Country:US
Practice Address - Phone:832-563-7452
Practice Address - Fax:956-601-2292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-10
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX149931Medicaid
TX32263OtherPHARMACY LICENSE NUMBER