Organization Active NPI

U B a Pharmacy LLC

  • Community/Retail Pharmacy
  • San Antonio, TX
National Provider Identifier
1689689218
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
23347 Issued in TX
Legal business name
U B A PHARMACY LLC
Practice address
2003 Rogers Rd Ste 102
San Antonio, TX 78251-4834
Phone
(210) 680-0882
Fax
(210) 680-0884
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Authorized official

Name
Chibe Ubabuike
Title
Pres Ceo
Phone
(210) 646-8804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 23347 TX Primary

Addresses

Primary practice location

2003 Rogers Rd Ste 102
San Antonio, TX 78251-4834

Mailing address

2003 Rogers Rd Ste 102
San Antonio, TX 78251-4834
Phone (210) 680-0882

Other identifiers 2

IdentifierTypeStateIssuer
2097595OtherPK
145438MedicaidTX

Other names 1

  • UBA PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2003 Rogers Rd
Ste 102
San Antonio, TX 78251
Phone (210) 680-0882

5445 Walzem Rd
Windcrest, TX 78218

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1689689218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 ROGERS RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514834",
            "telephone_number": "210-680-0882",
            "fax_number": "210-680-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 ROGERS RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514834",
            "telephone_number": "210-680-0882",
            "fax_number": "210-680-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U B A PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "UBABUIKE",
        "authorized_official_first_name": "CHIBE",
        "authorized_official_title_or_position": "PRES CEO",
        "authorized_official_telephone_number": "210-646-8804"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "23347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2097595",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145438",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UBA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UBA PHARMACY",
            "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 Feb 24, 2020; 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.