Provider Demographics
NPI:1396714903
Name:RIOS PHARMACEUTICALS LTD
Entity type:Organization
Organization Name:RIOS PHARMACEUTICALS LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/ OWNER
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:RPH
Authorized Official - Phone:956-849-1811
Mailing Address - Street 1:PO BOX 2945
Mailing Address - Street 2:
Mailing Address - City:ROMA
Mailing Address - State:TX
Mailing Address - Zip Code:78584-2945
Mailing Address - Country:US
Mailing Address - Phone:956-849-1811
Mailing Address - Fax:956-849-3843
Practice Address - Street 1:708 N GRANT ST
Practice Address - Street 2:
Practice Address - City:ROMA
Practice Address - State:TX
Practice Address - Zip Code:78584-5310
Practice Address - Country:US
Practice Address - Phone:956-849-1811
Practice Address - Fax:956-849-3843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-16
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 261Q00000X
TX231673336C0003X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
No333600000XSuppliersPharmacy
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX148205Medicaid
TX16551101-01Medicaid
TX23167OtherTX ST BOARD OF PHARMACY
TX16551102-02Medicaid
5134640001Medicare NSC