SUPER DRUG MART
NPI 1447631734
Pharmacist in San Antonio, TX

Q: What is Super Drug Mart, Inc.'s NPI number?

The NPI number for Super Drug Mart, Inc. is 1447631734. It was assigned to this organization in the NPPES registry on June 12, 2015. The provider is doing business as Super Drug Mart.

Q: What is Super Drug Mart, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Active since June 12, 2015

5555 FREDERICKSBURG RD, SUITE 105, SAN ANTONIO, TX 78229(210) 495-7516(210) 340-6998 Get Directions Write a Review

NPPES record last updated: June 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Super Drug Mart NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPER DRUG MART (NPI 1447631734) is a healthcare organization registered as a pharmacist in San Antonio, Texas and active in the NPI registry since June 2015. The organization lists Raymond D Ibanez, Owner/pharmacist, as its authorized official.

NPPES Registry Identity

NPI1447631734

Entity TypeOrganization

Primary Taxonomy183500000X

Legal Business NameSUPER DRUG MART, INC.

Location Address5555 FREDERICKSBURG RD, SUITE 105San Antonio, TX 78229-3500

Mailing Address19010 Preist Blvd, Suite 101Lytle, TX 78052-3486 · (830) 709-0360 · Fax (830) 709-0363

Phone(210) 495-7516

Fax(210) 340-6998

Organization SubpartNo

Authorized OfficialRaymond D IbanezOwner/pharmacist · (830) 709-0360

Enumeration DateJune 12, 2015

✔ NPI 1447631734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in TX · 20307

Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

5555 FREDERICKSBURG RD, San Antonio, TX 78229

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Other Names 1

Doing Business AsSuper Drug Mart

Other Identifiers 3

Medicaid144974TX

Medicare NSC1208570001TX

Other20307TX · State Board Of Pharmacy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHEILA DELGADO

Counselor (Professional)

5555 FREDERICKSBURG RD, #102
SAN ANTONIO, TX 78229

Bexar County (210) 616-0828

KIMBERLY BECK LPCI

Counselor (Professional)

5555 FREDERICKSBURG RD
SAN ANTONIO, TX 78229

Bexar County (210) 616-0828

ANNA RODRIGUEZ LMFTA

Counselor (Professional)

5555 FREDERICKSBURG RD, #102
SAN ANTONIO, TX 78229

Bexar County (210) 616-0828

CAROLIN SMITH LMSW

Social Worker (Clinical)

5555 FREDERICKSBURG RD, #102
SAN ANTONIO, TX 78229

Bexar County (210) 616-0828

MS. PAULA S. HERNANDEZ LPC

Counselor (Professional)

5555 FREDERICKSBURG RD, SUITE 102
SAN ANTONIO, TX 78229

Bexar County (210) 616-0828

LILIANA VENEGAS-BROWN LPC INTERN

Counselor (Professional)

5555 FREDERICKSBURG RD, #102
SAN ANTONIO, TX 78229

Bexar County (210) 616-0828

SUSAN MARIE PEREZ MSW, LCSW

Social Worker (Clinical)

5555 FREDERICKSBURG RD, 102
SAN ANTONIO, TX 78229

Bexar County (210) 616-0828

NANCY BUSTAMANTE TAFT LPC

Counselor (Professional)

5555 FREDERICKSBURG RD, #102
SAN ANTONIO, TX 78229

Bexar County (210) 616-0828

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Super Drug Mart, Inc.'s NPI number?

The NPI number for Super Drug Mart, Inc. is 1447631734. It was assigned to this organization in the NPPES registry on June 12, 2015. The provider is doing business as Super Drug Mart.

Where is Super Drug Mart, Inc. located?

Super Drug Mart, Inc. is located at 5555 Fredericksburg Rd Suite 105, San Antonio, TX 78229. The listed phone number is (210) 495-7516.

What is Super Drug Mart, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Super Drug Mart, Inc. was last updated on June 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.