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BUENA VISTA PHARMACY INC. NPI 1649304320


NPI Information

NPI: 1649304320
Provider Name: BUENA VISTA PHARMACY, INC.

Doing Business As: DBA SUPER DRUG MART #4

Classification: Pharmacist - 183500000X
Entity Type: Organization
Address:
7323 MARBACH RD STE 105
SAN ANTONIO, TX
ZIP 78227
Phone: (210) 674-1900
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BUENA VISTA PHARMACY, INC. is a pharmacist in San Antonio, TX. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. BUENA VISTA PHARMACY, INC. NPI is 1649304320. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dba Super Drug Mart #4.

The provider's business location address is:

7323 MARBACH RD STE 105
SAN ANTONIO, TX
ZIP 78227-905
Phone: (210) 674-1900
Fax: (210) 674-5404

The provider's authorized official is Raymond D Ibanez .
The authorized official title is PRESIDENT PHARMACIST IN CHARGEPharmacist In Charge and has the following contact phone number (210) 674-1900.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 12/2/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacist18224TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14567270OTHERTEXASNABP
2010729401MEDICAIDTEXAS
3067296601MEDICAIDTEXAS
4142614MEDICAIDTENNESSEE
51208570001MEDICARE ID-TYPE UNSPECIFIEDTEXASMEDICARE IDENTIFICATION N
6016578901MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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