Advant Edge Pharmacy, Inc
Advant Edge Pharmacy, Inc is a healthcare organization registered as Durable Medical Equipment & Medical Supplies in El Paso, TX, holding Type 2 (organization) NPI 1477547552 since 2005. The authorized official on file is Eustacio Rivas, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1477547552 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Advant Edge Pharmacy, Inc |
| Other name | <Unavail> |
| Practice address | 1576 LOMALAND DR, El Paso, TX, 79935 |
| Phone | 9155950409 |
| Fax | 9155951306 |
| Enumeration date | 2005-09-06 |
| Last updated in NPPES | 2012-09-10 |
Authorized official
| Name | Eustacio Rivas |
|---|---|
| Title | President |
| Phone | 9155950409 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | Secondary | 19378 | TX |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | Secondary | 19378 | TX |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Primary | 19378 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010965401 | Medicaid | TX | — |
| 016896501 | Medicaid | TX | — |
Copy-ready billing details
Provider: Advant Edge Pharmacy, Inc NPI: 1477547552 Taxonomy: 332B00000X (Durable Medical Equipment & Medical Supplies) Address: 1576 LOMALAND DR, El Paso, TX, 79935
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1003994518 | Advant-Edge Pharmacy, Inc | Organization | Community/Retail Pharmacy | El Paso, TX |
| 1740876929 | Premier Foot and Ankle Specialist of Texas - Professional Association | Organization | Durable Medical Equipment & Medical Supplies | El Paso, TX |
| 1235721499 | Estela Medina-Ontiveros | Individual | Pharmacist | El Paso, TX |
| 1952995391 | Alejandro Arias | Individual | Pharmacist | El Paso, TX |
| 1467215483 | Advant Edge Pharmacy, Inc | Organization | Long Term Care Pharmacy | El Paso, TX |
Verify this record
Cross-check NPI 1477547552 against the authoritative CMS record: view Advant Edge Pharmacy, Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Advant Edge Pharmacy, Inc?
Who is the authorized official for Advant Edge Pharmacy, Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2012-09-10.