Provider Demographics
NPI:1336437920
Name:PHARMVEL LLC
Entity Type:Organization
Organization Name:PHARMVEL LLC
Other - Org Name:HOPEWELL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:SELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:VELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-442-7040
Mailing Address - Street 1:4711 S ALAMO RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78542-3711
Mailing Address - Country:US
Mailing Address - Phone:956-787-0075
Mailing Address - Fax:956-787-0079
Practice Address - Street 1:4711 S ALAMO RD STE 105
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78542-3712
Practice Address - Country:US
Practice Address - Phone:956-787-0075
Practice Address - Fax:956-787-0079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-16
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336C0004X
TX275103336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5903720OtherNCPDP PROVIDER IDENTIFICATION NUMBER