Organization Active NPI

Fidel G Huerta Jr Inc

Doing business as Health Professionals

  • Pharmacy
  • San Antonio, TX
National Provider Identifier
1265611578
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
25780 Issued in TX
Legal business name
FIDEL G HUERTA JR INC
Doing business as
Health Professionals
Practice address
102 Babcock Rd
Ste 102
San Antonio, TX 78201-3952
Phone
(210) 737-6000
Fax
(210) 737-6024
NPI assigned
Nov 2, 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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 25780 TX Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

102 Babcock Rd
Ste 102
San Antonio, TX 78201-3952

Mailing address

102 Babcock Rd
Ste 102
San Antonio, TX 78201-3952
Phone (210) 737-6000

Other identifiers 2

IdentifierTypeStateIssuer
466455MedicaidTX
4546276OtherNCPDP 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.

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1265611578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BABCOCK RD",
            "address_2": "STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782013952",
            "telephone_number": "210-737-6000",
            "fax_number": "210-737-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BABCOCK RD",
            "address_2": "STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782013952",
            "telephone_number": "210-737-6000",
            "fax_number": "210-737-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDEL G HUERTA JR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "25780",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "466455",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4546276",
            "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.