Active NPI
Vida Y Salud Health Systems Inc
- Clinic Pharmacy
- Crystal City, TX
National Provider Identifier
1689616039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- License
- 07032
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4514798 | Other | OTHER ID NUMBER | |
| 4514798 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.