Carvajals Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

06492 Issued in TX

Legal business name

CARVAJALS INC.

Doing business as

Carvajal Pharmacy

Practice address

3410 Roosevelt Ave
San Antonio, TX 78214-2606

Phone

(210) 922-2176

Fax

(210) 927-4604

NPI assigned

Aug 20, 2006

Last updated

Apr 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Roland Carvajal, R.PHNPI 1114237526

Title

President

Phone

(210) 922-2176

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Carvajal Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX3 enrollments

Enrollment records 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raymond Carvajal, R.PH.

  • Pharmacist
  • San Antonio, TX
  • NPI 1114237526
  Authorized official Same address or phone

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1932214111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 ROOSEVELT AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782142606",
            "telephone_number": "210-922-2176",
            "fax_number": "210-927-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 ROOSEVELT AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782142606",
            "telephone_number": "210-922-2176",
            "fax_number": "210-927-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARVAJALS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "CARVAJAL",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "ROLAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-922-2176",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "06492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148194",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "4510954",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carvajal Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carvajal Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carvajals Inc (Carvajal Pharmacy Crockett Park)
• Carvajals Inc (Carvajal Pharmacy Wesley)
• Carvajals Inc. (Carvajal Pharmacy South San)
• Carvajals Inc. (Carvajal Pharmacy)
• Carvajals Inc. (Carvajal Pharmacy Ingram Park)
• Clarissa Vincent Carvalho, NP
• Danielle Lee Carver, MSN, APRN, FNP-C
• Deborah Lynne Carver, M.D.
• Lea Ann Carver, NP
• Maria D Carver

• Community/Retail Pharmacy in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.