Organization Active NPI

Buena Vista Discount Pharmacy

  • Health Service Clinic/Center
  • San Antonio, TX
National Provider Identifier
1306015177
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
11492 Issued in TX
Legal business name
BUENA VISTA DISCOUNT PHARMACY
Practice address
2223 Buena Vista St
San Antonio, TX 78207-3702
Phone
(210) 226-3699
Fax
(210) 226-2130
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Mr. Jesse De la Cruz, RPH
Title
Pharmacists/Owner
Phone
(210) 226-3699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 11492 TX Primary

Addresses

Primary practice location

2223 Buena Vista St
San Antonio, TX 78207-3702

Mailing address

2223 Buena Vista St
San Antonio, TX 78207-3702
Phone (210) 226-3699

National Provider Directory

National Provider Directory

Locations

2223 Buena Vista St
San Antonio, TX 78207
Phone (210) 226-3699

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1306015177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 BUENA VISTA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073702",
            "telephone_number": "210-226-3699",
            "fax_number": "210-226-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 BUENA VISTA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073702",
            "telephone_number": "210-226-3699",
            "fax_number": "210-226-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VISTA DISCOUNT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "PHARMACISTS/OWNER",
        "authorized_official_telephone_number": "210-226-3699",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": "11492",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 29, 2008; 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.