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DBA SUPER DRUG MART #4
NPI 1649304320
Pharmacist in San Antonio, TX

Active since March 15, 2007
7323 MARBACH RD STE 105, SAN ANTONIO, TX 78227(210) 674-1900(210) 674-5404 Get Directions Write a Review

NPPES record last updated: December 2, 2013. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dba Super Drug Mart #4 NPPES

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

DBA SUPER DRUG MART #4 (NPI 1649304320) is a healthcare organization registered as a pharmacist in San Antonio, Texas and active in the NPI registry since March 2007. The organization lists Raymond D Ibanez, President Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1649304320
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameBUENA VISTA PHARMACY, INC.
Location Address7323 MARBACH RD STE 105San Antonio, TX 78227-1905
Mailing Address7323 Marbach Rd Ste 105San Antonio, TX 78227-1905 · (210) 674-1900 · Fax (210) 674-5404
Phone(210) 674-1900
Fax(210) 674-5404
Organization SubpartNo
Authorized OfficialRaymond D IbanezPresident Pharmacist In Charge · (210) 674-1900
Enumeration DateMarch 15, 2007
Last NPPES UpdateDecember 2, 2013
✔ NPI 1649304320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in TX · 18224
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.
7323 MARBACH RD STE 105, San Antonio, TX 78227
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Other Names 1

Doing Business AsDba Super Drug Mart #4

Other Identifiers 6

Other4567270TX · Nabp
Medicaid010729401TX
Medicaid067296601TX
Medicaid142614TN
Medicare ID-Type Unspecified1208570001TX · Medicare Identification N
Medicaid016578901TX

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 2

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

TRINITY SPECIALTY PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
7323 MARBACH RD STE 105
SAN ANTONIO, TX 78227
Bexar County (210) 233-6054
MR. RAYMOND D IBANEZ RPH
Pharmacist
7323 MARBACH RD STE 105
SAN ANTONIO, TX 78227
Bexar County (210) 674-1900

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 Buena Vista Pharmacy, Inc.'s NPI number?

The NPI number for Buena Vista Pharmacy, Inc. is 1649304320. It was assigned to this organization in the NPPES registry on March 15, 2007. The provider is doing business as Dba Super Drug Mart #4.

Where is Buena Vista Pharmacy, Inc. located?

Buena Vista Pharmacy, Inc. is located at 7323 Marbach Rd Ste 105, San Antonio, TX 78227. The listed phone number is (210) 674-1900.

What is Buena Vista Pharmacy, 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 Buena Vista Pharmacy, Inc. was last updated on December 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.