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CARVAJAL PHARMACY CROCKETT PARK
NPI 1457789935
Pharmacy - Community/Retail Pharmacy in San Antonio, TX

Active since October 21, 2013CLIA 45D2185313 · Waiver
1715 MCCULLOUGH AVE, SAN ANTONIO, TX 78212(210) 977-1870(210) 354-3600 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2021, Mar 3, 2021 (2 updates tracked since 2021).

About Carvajal Pharmacy Crockett Park NPPES

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

CARVAJAL PHARMACY CROCKETT PARK (NPI 1457789935) is a healthcare organization registered as a community/retail pharmacy in San Antonio, Texas and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through June 1, 2028 and lists Charles Carvajal, Pic, as its authorized official.

NPPES Registry Identity

NPI1457789935
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCARVAJALS INC
Location Address1715 MCCULLOUGH AVESan Antonio, TX 78212-4046
Mailing Address3410 Roosevelt AveSan Antonio, TX 78214-2606 · (210) 922-2176 · Fax (210) 927-4604
Phone(210) 977-1870
Fax(210) 354-3600
Organization SubpartNo
Authorized OfficialCharles CarvajalPic · (210) 410-7024
Enumeration DateOctober 21, 2013
Last NPPES UpdateApril 21, 20212 updates tracked since enumeration
NPPES CertifiedApril 21, 2021
✔ NPI 1457789935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TX · 28829
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
1715 MCCULLOUGH AVE, San Antonio, TX 78212
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Other Names 1

Doing Business AsCarvajal Pharmacy Crockett Park

Other Identifiers 1

Medicaid5909936TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2185313

Carvajals Inc, Carvajal Pharmacy · San Antonio, TX
Active · expires Jun 1, 2028
CLIA Number45D2185313
Laboratory TypePharmacy
Certificate Effective DateJune 2, 2026
Certificate Expiration DateJune 1, 2028
Laboratory DirectorRaymond R Carvajal
Laboratory Phone(210) 922-2176
Laboratory LocationCarvajals Inc, Carvajal Pharmacy3410 Roosevelt Avenue, San Antonio, TX 78214
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

DR. WESLEY ALLEN CLARKSON D.O.
Internal Medicine (Cardiovascular Disease)
1715 MCCULLOUGH AVE, FL 2
SAN ANTONIO, TX 78212
Bexar County (210) 408-1613
MRS. JANICE WENGYE LEUNG DNP
Nurse Practitioner (Gerontology)
1715 MCCULLOUGH AVE
SAN ANTONIO, TX 78212
Bexar County (210) 225-5323
DR. ALEXANDER PAIVA D.O.
Internal Medicine
1715 MCCULLOUGH AVE
SAN ANTONIO, TX 78212
Bexar County (210) 225-5323
CARMINA M FUSCO DPM
Podiatrist (Foot Surgery)
1715 MCCULLOUGH AVE, 2ND FLOOR
SAN ANTONIO, TX 78212
Bexar County (210) 732-3668
RAMON LUIS FIGUEROA MD
Family Medicine
1715 MCCULLOUGH AVE
SAN ANTONIO, TX 78212
Bexar County (210) 225-5323
DR. JAIME MORENO MD
Internal Medicine
1715 MCCULLOUGH AVE
SAN ANTONIO, TX 78212
Bexar County (210) 225-5323
ALEKSANDRA DUKHAN
Family Medicine
1715 MCCULLOUGH AVE
SAN ANTONIO, TX 78212
Bexar County (210) 225-5323
RACHEL PAIGE WALKER MD
Family Medicine
1715 MCCULLOUGH AVE
SAN ANTONIO, TX 78212
Bexar County (210) 225-5323

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 Carvajals Inc's NPI number?

The NPI number for Carvajals Inc is 1457789935. It was assigned to this organization in the NPPES registry on October 21, 2013. The provider is doing business as Carvajal Pharmacy Crockett Park.

Where is Carvajals Inc located?

Carvajals Inc is located at 1715 Mccullough Ave, San Antonio, TX 78212. The listed phone number is (210) 977-1870.

What is Carvajals Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Carvajals Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2185313) is associated with this NPI, valid through June 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Carvajals Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 54 other insurers list Carvajals Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carvajals Inc was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.