Active NPI
Real Value Products Corporation
- Community/Retail Pharmacy
- San Antonio, TX
National Provider Identifier
1134501059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2152697 | Other | PK |
National Provider Directory
National Provider DirectoryLocations
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.