Organization Active NPI

Real Value Products Corporation

  • Community/Retail Pharmacy
  • San Antonio, TX
National Provider Identifier
1134501059
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
REAL VALUE PRODUCTS CORPORATION
Practice address
4742 Dodge St
San Antonio, TX 78217-3711
Phone
(844) 870-5146
Fax
(844) 328-4816
NPI assigned
Jun 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
I. Randall Chudnow
Title
VP Finance
Phone
(210) 979-3306

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X
Institutional Pharmacy 3336I0012X
Long Term Care Pharmacy 3336L0003X
Mail Order Pharmacy 3336M0002X 30034 TX
Managed Care Organization Pharmacy 3336M0003X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

4742 Dodge St
San Antonio, TX 78217-3711

Mailing address

4742 Dodge St
San Antonio, TX 78217-3711
Phone (844) 870-5146

Other identifiers 1

IdentifierTypeStateIssuer
2152697OtherPK

National Provider Directory

National Provider Directory

Locations

4742 Dodge St
San Antonio, TX 78217
Phone (210) 278-5986

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1134501059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4742 DODGE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173711",
            "telephone_number": "844-870-5146",
            "fax_number": "844-328-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4742 DODGE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173711",
            "telephone_number": "844-870-5146",
            "fax_number": "844-328-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL VALUE PRODUCTS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-27",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "CHUDNOW",
        "authorized_official_first_name": "I. RANDALL",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "210-979-3306"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "TX",
            "license": "30034",
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152697",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.