Organization Active NPI

Vida Y Salud Health Systems Inc

  • Clinic Pharmacy
  • Crystal City, TX
National Provider Identifier
1689616039
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
07032 Issued in TX
Legal business name
VIDA Y SALUD HEALTH SYSTEMS INC
Practice address
308 S Cesar Chavez Ave
Crystal City, TX 78839-4200
Phone
(830) 374-2301
Fax
(830) 374-3364
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Ramon Lopez
Title
Chief Finance Ofcr
Phone
(830) 374-2301

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X 07032 TX Primary

Addresses

Primary practice location

308 S Cesar Chavez Ave
Crystal City, TX 78839-4200

Mailing address

308 S Cesar Chavez Ave
Crystal City, TX 78839-4200

Other identifiers 2

IdentifierTypeStateIssuer
4514798OtherOTHER ID NUMBER
4514798OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAGECD

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1689616039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S CESAR CHAVEZ AVE",
            "city": "CRYSTAL CITY",
            "state": "TX",
            "postal_code": "788394200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 S CESAR CHAVEZ AVE",
            "city": "CRYSTAL CITY",
            "state": "TX",
            "postal_code": "788394200",
            "telephone_number": "830-374-2301",
            "fax_number": "830-374-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA Y SALUD HEALTH SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "CHIEF FINANCE OFCR",
        "authorized_official_telephone_number": "830-374-2301"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "TX",
            "license": "07032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4514798",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4514798",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.