Active NPI
Dana Alan Collavo, R.PH.
- Pharmacist
- San Antonio, TX
National Provider Identifier
1871808808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23754
- Practice address
- 400 Valley Hi
San Antonio, TX 78227-4604 - Phone
- (210) 673-1760
- Fax
- (210) 673-5489
- NPI assigned
- Aug 14, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23754 | TX | Primary |
Addresses
Primary practice location
400 Valley Hi
San Antonio, TX 78227-4604
Mailing address
400 Valley Hi
San Antonio, TX 78227-4604
Phone (210) 673-1760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281744000000",
"number": "1871808808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 VALLEY HI",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782274604",
"telephone_number": "210-673-1760",
"fax_number": "210-673-5489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 VALLEY HI",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782274604",
"telephone_number": "210-673-1760",
"fax_number": "210-673-5489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLAVO",
"first_name": "DANA",
"middle_name": "ALAN",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-14",
"last_updated": "2010-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "23754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.