NPIMap

Organization Active NPI

Fidel G. Huerta Jr., Inc.

  • Community/Retail Pharmacy
  • San Antonio, TX
National Provider Identifier
1467597724
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
17446 Issued in TX
Legal business name
FIDEL G. HUERTA JR., INC.
Practice address
700 S Zarzamora St
Suite 100
San Antonio, TX 78207-5255
Phone
(210) 496-9292
Fax
(210) 436-9297
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 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 17446 TX
Community/Retail Pharmacy 3336C0003X 17446 TX Primary

Addresses

Primary practice location

700 S Zarzamora St
Suite 100
San Antonio, TX 78207-5255

Mailing address

4006 Nogalitos
Suite 1
San Antonio, TX 78211-1300
Phone (210) 924-5163

Other identifiers 2

IdentifierTypeStateIssuer
144525MedicaidTX
4583060OtherTXNCPDP 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

700 S Zarzamora St
Ste 100
San Antonio, TX 78207
Phone (210) 433-5400

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1467597724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 NOGALITOS",
            "address_2": "SUITE 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782111300",
            "telephone_number": "210-924-5163",
            "fax_number": "210-924-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S ZARZAMORA ST",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782075255",
            "telephone_number": "210-496-9292",
            "fax_number": "210-436-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDEL G. HUERTA JR., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-12-16",
        "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": "17446",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "17446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144525",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP OR NABP",
            "identifier": "4583060",
            "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 16, 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.