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SAN ANTONIO PHARMACY
NPI 1790111235
Pharmacy - Community/Retail Pharmacy in Pomona, CA

Active since September 16, 2013
255 E BONITA AVE, BUILDING 1, SUITE 102, POMONA, CA 91767(909) 962-6430 Get Directions Write a Review

NPPES record last updated: March 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About San Antonio Pharmacy NPPES

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

SAN ANTONIO PHARMACY (NPI 1790111235) is a healthcare organization registered as a community/retail pharmacy in Pomona, California and active in the NPI registry since September 2013. The organization lists Harris Koenig, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1790111235
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAN ANTONIO PHARMACY
Location Address255 E BONITA AVE, BUILDING 1, SUITE 102Pomona, CA 91767-1923
Mailing Address255 E Bonita Ave, Building 1, Suite 102Pomona, CA 91767-1923 · (909) 962-6430
Phone(909) 962-6430
Organization SubpartYesParent: San Antonio Regional Hospital Inc
Authorized OfficialHarris KoenigPresident/ceo · (909) 985-2811
Enumeration DateSeptember 16, 2013
Last NPPES UpdateMarch 7, 2016
✔ NPI 1790111235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · 51533
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.
255 E BONITA AVE, Pomona, CA 91767
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

SUCHADA TACHASOOKSAREE MSPAS, MPH, PA-C
Physician Assistant
255 E BONITA AVE
POMONA, CA 91767
Los Angeles County (909) 593-7437
MICHAEL MARINELLO
Nurse Practitioner
255 E BONITA AVE
POMONA, CA 91767
Los Angeles County (909) 643-2980
DR. KERRY NORMAN GOTT M.D.
Internal Medicine (Infectious Disease)
255 E BONITA AVE
POMONA, CA 91767
Los Angeles County (909) 596-7733
WENDY WANG OTR/L
Occupational Therapist (Physical Rehabilitation)
255 E BONITA AVE
POMONA, CA 91767
Los Angeles County (909) 596-7733
VANESSA PAI
Specialist/Technologist (Athletic Trainer)
255 E BONITA AVE
POMONA, CA 91767
Los Angeles County (909) 859-5652
MICHELE ALANIZ OTR/L
Occupational Therapist
255 E BONITA AVE
POMONA, CA 91767
Los Angeles County (909) 596-7733
TERESA LANDIS
Dietitian, Registered
255 E BONITA AVE, 2ND FLOOR, SUITE 200
POMONA, CA 91767
Los Angeles County (909) 519-3207
SARAH OLIVIA YAGHOUBI PT, DPT
Physical Therapist (Neurology)
255 E BONITA AVE
POMONA, CA 91767
Los Angeles County (909) 596-7733

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 San Antonio Pharmacy's NPI number?

The NPI number for San Antonio Pharmacy is 1790111235. It was assigned to this organization in the NPPES registry on September 16, 2013.

Where is San Antonio Pharmacy located?

San Antonio Pharmacy is located at 255 E Bonita Ave Building 1, Suite 102, Pomona, CA 91767. The listed phone number is (909) 962-6430.

What is San Antonio Pharmacy's specialty?

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

What insurance does San Antonio Pharmacy accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and AvMed and 31 other insurers list San Antonio Pharmacy 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 San Antonio Pharmacy was last updated on March 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.