NPIMap

Organization Active NPI

Fidel G. Huerta Jr., Inc.

  • Community/Retail Pharmacy
  • San Antonio, TX
National Provider Identifier
1376688366
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
16707 Issued in TX
Legal business name
FIDEL G. HUERTA JR., INC.
Practice address
2115 Pleasanton Rd
Suite 100
San Antonio, TX 78221-1321
Phone
(210) 923-7717
Fax
(210) 923-3720
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 16707 TX
Community/Retail Pharmacy 3336C0003X 16707 TX Primary

Addresses

Primary practice location

2115 Pleasanton Rd
Suite 100
San Antonio, TX 78221-1321

Mailing address

2115 Pleasanton Rd.
Suite 100
Sa Antonio, TX 78221
Phone (210) 923-7717

Other identifiers 2

IdentifierTypeStateIssuer
144301MedicaidTX
4595166OtherTXNCPDP OR NABP

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

2115 Pleasanton Rd
Ste 100
San Antonio, TX 78221
Phone (210) 923-7717

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1376688366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 PLEASANTON RD.",
            "address_2": "SUITE 100",
            "city": "SA ANTONIO",
            "state": "TX",
            "postal_code": "78221",
            "telephone_number": "210-923-7717",
            "fax_number": "210-923-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 PLEASANTON RD",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211321",
            "telephone_number": "210-923-7717",
            "fax_number": "210-923-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDEL G. HUERTA JR., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "HUERTA",
        "authorized_official_first_name": "FIDEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "210-433-9991",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "16707",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "16707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP OR NABP",
            "identifier": "4595166",
            "state": "TX"
        }
    ],
    "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 Dec 15, 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.