OrganizationActive
Advant Edge Pharmacy, Inc
NPI 1477547552 · Durable Medical Equipment & Medical Supplies · El Paso, TX
Provider details
- NPI number
- 1477547552
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Eustacio Rivas, President(915) 595-0409
- License
- 19378 (TX)
Specialties & taxonomies
Suppliers
Suppliers
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1576 Lomaland Dr
El Paso, TX 79935-4202
Phone: (915) 595-0409
Fax: (915) 595-1306
Street-level locationGet directions
Mailing address
1576 Lomaland
El Paso, TX 79935
Other names (DBA / former)
- Doing business as
- Advant Edge Hme
Registry dates
- Enumerated
- 2005-09-06
- Last updated
- 2012-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.