NPIMap

Organization Active NPI

Fidel G Huerta Jr Inc

Doing business as Health Professionals

  • Long Term Care Pharmacy
  • San Antonio, TX
National Provider Identifier
1194877449
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
23802 Issued in TX
Legal business name
FIDEL G HUERTA JR INC
Doing business as
Health Professionals
Practice address
818 Brooklyn Ave Ste 2
Ste 2
San Antonio, TX 78215-1607
Phone
(210) 228-0300
Fax
(210) 228-0313
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Authorized official

Name
Fidel Huerta, RPH
Title
President
Phone
(210) 433-9991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 23802 TX Primary

Addresses

Primary practice location

818 Brooklyn Ave Ste 2
Ste 2
San Antonio, TX 78215-1607

Mailing address

818 Brooklyn Ave
Ste 2
San Antonio, TX 78215-1607
Phone (210) 228-0300

Other identifiers 2

IdentifierTypeStateIssuer
320248MedicaidTX
4506006OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • HEALTH PROFESSIONALS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fidel G Huerta Jr Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

818 Brooklyn Ave
Ste 2
San Antonio, TX 78215
Phone (210) 228-0300

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1194877449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 BROOKLYN AVE",
            "address_2": "STE 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151607",
            "telephone_number": "210-228-0300",
            "fax_number": "210-228-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 BROOKLYN AVE STE 2",
            "address_2": "STE 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151607",
            "telephone_number": "210-228-0300",
            "fax_number": "210-228-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDEL G HUERTA JR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "HUERTA",
        "authorized_official_first_name": "FIDEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-433-9991",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "23802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320248",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4506006",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTH PROFESSIONALS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 28, 2011; 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.