Eila Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

21462 Issued in TX

Legal business name

EILA CORPORATION

Doing business as

Pioneer Pharmacy

Practice address

4503 De Zavala Rd Ste 108
San Antonio, TX 78249-2060

Phone

(210) 492-3005

Fax

(210) 492-3007

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Larry Oliver, RPH

Title

Manager/Owner

Phone

(210) 492-3005

Specialties & licenses 2

Addresses

Other identifiers 6

Other names 1

• Pioneer Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1225170509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 DE ZAVALA RD STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492060",
            "telephone_number": "210-492-3005",
            "fax_number": "210-492-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 DE ZAVALA RD STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492060",
            "telephone_number": "210-492-3005",
            "fax_number": "210-492-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EILA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "210-492-3005",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "21462",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145149",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091708005",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091708003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091708004",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2093424",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145952",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carina Eichler
• Eric Keith Eichman, RPHT
• Robin Eickhoff, MD
• Brittany Eickstead, PHARMD
• Hana Wael Eid, DDS
• Raven Eiland
• Eileen a. Smith M.D., P.a.
• Brent Eilers, CCP
• Albert A Eisch, LPC
• Denise Eisel

• Community/Retail Pharmacy in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.