NPIMap

Organization Active NPI

Fidel G. Huerta Jr., Inc.

  • Community/Retail Pharmacy
  • San Antonio, TX
National Provider Identifier
1669517587
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
19805 Issued in TX
Legal business name
FIDEL G. HUERTA JR., INC.
Practice address
426 Castroville Rd
Suite 5
San Antonio, TX 78207-5120
Phone
(210) 433-9991
Fax
(210) 434-7864
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 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) 924-5163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 19805 TX Primary

Addresses

Primary practice location

426 Castroville Rd
Suite 5
San Antonio, TX 78207-5120

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
144907MedicaidTX
4510485OtherTXNCPDP 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

426 Castroville Rd
Ste 5
San Antonio, TX 78207
Phone (210) 433-9991

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

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": "1229040000000",
    "number": "1669517587",
    "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": "426 CASTROVILLE RD",
            "address_2": "SUITE 5",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782075120",
            "telephone_number": "210-433-9991",
            "fax_number": "210-434-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDEL G. HUERTA JR., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-12-12",
        "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": "210-924-5163",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "19805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144907",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP OR NABP",
            "identifier": "4510485",
            "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 12, 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.