Organization Active NPI

Buena Vista Pharmacy Inc.

  • Community/Retail Pharmacy
  • San Antonio, TX
National Provider Identifier
1770963712
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
29974 Issued in TX
Legal business name
BUENA VISTA PHARMACY INC.
Doing business as
Huebner Family Pharmacy
Practice address
9150 Huebner Rd Ste 125a
San Antonio, TX 78240-1558
Phone
(210) 696-2700
Fax
(210) 696-2710
NPI assigned
Jun 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Authorized official

Name
Mr. Raymond Ibanez, RPH
Title
Pharmacist/President
Phone
(210) 696-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 29974 TX Primary

Addresses

Primary practice location

9150 Huebner Rd Ste 125a
San Antonio, TX 78240-1558

Mailing address

9150 Huebner Rd Ste 125a
San Antonio, TX 78240-1558
Phone (210) 696-2700

Other names 1

  • Huebner Family Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

9150 Huebner Rd
Ste 125A
San Antonio, TX 78240
Phone (210) 696-2700

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1770963712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 HUEBNER RD STE 125A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401558",
            "telephone_number": "210-696-2700",
            "fax_number": "210-696-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 HUEBNER RD STE 125A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401558",
            "telephone_number": "210-696-2700",
            "fax_number": "210-696-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VISTA PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "IBANEZ",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PHARMACIST/PRESIDENT",
        "authorized_official_telephone_number": "210-696-2700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huebner Family 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 Oct 16, 2015; 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.