NPIMap

Organization Active NPI

Carvajals Inc

  • Community/Retail Pharmacy
  • San Antonio, TX
National Provider Identifier
1457789935
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28829 Issued in TX
Legal business name
CARVAJALS INC
Practice address
1715 McCullough Ave
San Antonio, TX 78212-4046
Phone
(210) 977-1870
Fax
(210) 354-3600
NPI assigned
Oct 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Charles Carvajal, R.PH.
Title
Pic
Phone
(210) 410-7024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28829 TX Primary

Addresses

Primary practice location

1715 McCullough Ave
San Antonio, TX 78212-4046

Mailing address

3410 Roosevelt Ave
San Antonio, TX 78214-2606
Phone (210) 922-2176

Other identifiers 1

IdentifierTypeStateIssuer
5909936MedicaidTX

Other names 1

  • Carvajal Pharmacy Crockett Park Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carvajal Pharmacy6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1457789935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 ROOSEVELT AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782142606",
            "telephone_number": "210-922-2176",
            "fax_number": "210-927-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 MCCULLOUGH AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124046",
            "telephone_number": "210-977-1870",
            "fax_number": "210-354-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARVAJALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "CARVAJAL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "210-410-7024",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909936",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carvajal Pharmacy Crockett Park",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carvajal Pharmacy Crockett Park",
            "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 Apr 21, 2021; 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.