Natividad Sandoval III, PHARM. D

Primary specialty

PharmacistTaxonomy code 183500000X

License

63339 Issued in TX

Practice address

2403 N Columbia St
Plainview, TX 79072-3119

Phone

(806) 293-3820

NPI assigned

Aug 7, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• United Supermarkets LLC

  dba Amigos Pharmacy #1308

  • Community/Retail Pharmacy
  • Plainview, TX
  • NPI 1972594422
  NPD (past)
• United Supermarkets LLC

  dba Market Street Pharmacy #0921

  • Community/Retail Pharmacy
  • Rio Rancho, NM
  • NPI 1346061900
  NPD (past)

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1922653716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "OLTON",
            "state": "TX",
            "postal_code": "790640305",
            "telephone_number": "806-292-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 N COLUMBIA ST",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790723119",
            "telephone_number": "806-293-3820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 N University Ave",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794152822",
            "country_code": "US",
            "telephone_number": "806-763-5908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "NATIVIDAD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PHARM. D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "63339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rwo LP (Pinnells Medical Center Pharmacy)
• Rwo LP (Pinnell Drug)
• Gary Dale Sackett II, NP-C
• Veronica Salazar, RN
• Hector Jairo Sanchez-Tagle, DDS MSD
• Alice Sawayer, LPC
• Paul Anthony Sawayer, LPC
• Carl Dan Scales, MSN, APRN, FNP-C
• Caitlin Schulte, SLP
• Krisann Elizabeth Schulz, PA

• Pharmacist in Plainview, TX
• Providers in Plainview, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.