Active NPI
Raymond D Ibanez, RPH
- Pharmacist
- San Antonio, TX
National Provider Identifier
1457513624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18244
- Practice address
- 7323 Marbach Rd Ste 105
San Antonio, TX 78227-1905 - Phone
- (210) 674-1900
- Fax
- (210) 674-5404
- NPI assigned
- Jun 30, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18244 | TX | Primary |
Addresses
Primary practice location
7323 Marbach Rd Ste 105
San Antonio, TX 78227-1905
Mailing address
7323 Marbach Rd Ste 105
San Antonio, TX 78227-1905
Phone (210) 674-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18244 | Other | TX | TSBP LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18244 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214784000000",
"number": "1457513624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7323 MARBACH RD STE 105",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782271905",
"telephone_number": "210-674-1900",
"fax_number": "210-674-5404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7323 MARBACH RD STE 105",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782271905",
"telephone_number": "210-674-1900",
"fax_number": "210-674-5404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBANEZ",
"first_name": "RAYMOND",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-30",
"last_updated": "2008-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "18244",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TSBP LICENSE",
"identifier": "18244",
"state": "TX"
}
],
"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 Jun 30, 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.