CB Hollow, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31706 Issued in TX

Legal business name

CB HOLLOW, LLC

Doing business as

Good Life Pharmacy #2

Practice address

13331 Nacogdoches Rd
San Antonio, TX 78217

Phone

(210) 819-4515

Fax

(210) 819-4516

NPI assigned

Dec 12, 2017

Last updated

Dec 12, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Riyad A Hasanali, PHARM.D.

Title

Managing Member

Phone

(210) 819-4515

Specialties & licenses 1

Addresses

Other names 1

• Good Life Pharmacy #2 Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rocio Olmedo, PHARM.D.

  • Pharmacist
  • San Antonio, TX
  • NPI 1982069811
  NPD
• Christopher Michael Louis Berard, PHARMD

  • Pharmacist
  • San Antonio, TX
  • NPI 1407488117
  NPD (past)

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1265947303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26108 OVERLOOK PKWY BLDG 4",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782606046",
            "telephone_number": "210-819-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13331 NACOGDOCHES RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78217",
            "telephone_number": "210-819-4515",
            "fax_number": "210-819-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CB HOLLOW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "HASANALI",
        "authorized_official_first_name": "RIYAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "210-819-4515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Life Pharmacy #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caylor Hospice LLC (Inspiration Hospice)
• Marilyn Caylor, MA, LPC
• Amy Cazares, SLP
• Aranza Cazares
• Taryn Elizabeth Cazzolli, M.D.
• CBK Pharmacy LLC
• CBK Pharmacy LLC
• CCN Medical Services LLC
• CCT Chiropractic Centers of Texas at Alamo Heights
• Ccy PLLC (iLove Dental)

• 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 Dec 12, 2017; 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.