Active NPI
David Villanueva, RPH
- Pharmacist
- San Juan, TX
National Provider Identifier
1871958496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 56092
- Practice address
- 101 W FM 495
Walgreens
San Juan, TX 78589-3722 - Phone
- (956) 787-1830
- NPI assigned
- Dec 25, 2015
- 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 | 56092 | TX | Primary |
Addresses
Primary practice location
101 W FM 495
Walgreens
San Juan, TX 78589-3722
Mailing address
101 W FM 495
Walgreens
San Juan, TX 78589-3722
Phone (956) 787-1830
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56092 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1451001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451001600000",
"number": "1871958496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W FM 495",
"address_2": "WALGREENS",
"city": "SAN JUAN",
"state": "TX",
"postal_code": "785893722",
"telephone_number": "956-787-1830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W FM 495",
"address_2": "WALGREENS",
"city": "SAN JUAN",
"state": "TX",
"postal_code": "785893722",
"telephone_number": "956-787-1830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANUEVA",
"first_name": "DAVID",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-25",
"last_updated": "2015-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "56092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, TX
- Oscar Rene Vela, P.A-C
- Velacorp Pharmacists Inc (San Juan Pharmacy)
- Dora Velazquez, FNP
- Veterans Boulevard Family Dentistry, PLLC (Smile Magic of San Juan)
- Edilio Javier Villalobos
- Villarreal Medical Center PA
- Villarreal Medical Center, PA
- Villarreal Medical Center, PA
- Juan Miguel Villarreal, PA-C
- Tony Villarreal, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 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.