PROFESSIONAL PAVILION PHARMACY INC (NPI# 1235294661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235294661 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL PAVILION PHARMACY INC |
| Other Organization Name | PROFESSIONAL PAVILION PHARMACY |
| Practice Address |
315 N San Saba Ste 110 San Antonio TX 78207-3154 |
| Practice Telephone | 2102127455 |
| Practice Fax Number | 2102126643 |
| Mailing Telephone | 2102127455 |
| Mailing Fax Number | 2102126643 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2012-10-19 |
| Authorized Official Name | ROBERTO MARTIN (OWNER) |
| Authorized Official Telephone | 2102717575 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
17417 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4599950 | 01 |
| Other Name | Type Code |
|---|---|
| PROFESSIONAL PAVILION PHARMACY | Doing Business As Name - Organization |
| Street Address |
315 N SAN SABA STE 110 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78207-3154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811995780 | Jorge San Martin | Optometrist | 315 N San Saba, Suite 100, San Antonio, TX 78207-3154 | 2005-07-13 |
| 1477008126 | Melinda Marie Garcia | Physician Assistant | 315 N San Saba, Suite 1135, San Antonio, TX 78207-3154 | 2016-08-23 |
| 1932441334 | Daniela Alejandra Vidaurri | Pediatrics | 315 N San Saba, Suite 1003, San Antonio, TX 78207 | 2013-03-23 |
| 1053662478 | Mary Ann Apopot | Nurse Practitioner | 315 N San Saba, Ste 102, San Antonio, TX 78207-3154 | 2012-09-25 |
| 1255604104 | Utpal S Bhalala | Pediatrics | 315 N San Saba, Suite 1135, San Antonio, TX 78207-3154 | 2012-02-22 |
| 1366723363 | Amanda K. Miller | Physician Assistant | 315 N San Saba, San Antonio, TX 78207-3154 | 2011-09-02 |
| 1043527724 | Fuad Antonio Spath | Internal Medicine | 315 N San Saba, Suite 102, San Antonio, TX 78207-3154 | 2010-09-02 |
| 1932410735 | Leah Albano Mercado | Pediatrics | 315 N San Saba, 1075, San Antonio, TX 78207-3154 | 2010-06-25 |
| 1245566207 | South Texas Health Alliance | Surgery | 315 N San Saba, Suite 1195, San Antonio, TX 78207-3154 | 2009-10-27 |
| 1982850707 | Abhishek Prakashchandra Patel | Pediatrics | 315 N San Saba, Suite 1135, San Antonio, TX 78207-3154 | 2008-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457999849 | Eri Industries, LLC, Dba Eri Group Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2300 W. Commerce#216, San Antonio, TX 78207 | 2019-12-16 |
| 1164087854 | Jesse G Trevino | Student in an Organized Health Care Education/Training Program | 700 S Zarzamora Ste 209, San Antonio, TX 78207 | 2019-05-08 |
| 1669036869 | Anjali Patel | Student in an Organized Health Care Education/Training Program | 903 W. Martin Street, San Antonio, TX 78207 | 2019-04-24 |
| 1811488257 | Thomas Ellis Tippit Sr. | Dentist | 711 North Frio St, San Antonio, TX 78207 | 2018-05-22 |
| 1619426053 | Erica Annotti | Nurse Practitioner | 903 W Martin St Fl 6, San Antonio, TX 78207 | 2016-09-27 |
| 1801255435 | Mona Anwar El-kady | Audiologist | 411 S.w. 24th St, Jersig Building J119, San Antonio, TX 78207 | 2016-02-10 |
| 1053785683 | Lisa Marie Ramos | Speech-Language Pathologist | 230 Rounds, San Antonio, TX 78207 | 2015-11-19 |
| 1568840221 | Gabriel Tamayo | Physical Therapist | 701 S Zarzarmora, San Antonio, TX 78207 | 2015-05-14 |
| 1588042717 | Priya Amin | Podiatrist | 701 S Zarzamora St Ste 2120, San Antonio, TX 78207 | 2015-05-07 |
| 1437545837 | Jesse Banales | Student in an Organized Health Care Education/Training Program | 333 North Santa Road, Ccf-f3725, San Antonio, TX 78207 | 2015-04-13 |
| Find all providers in zip 78207 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502067 | West Lake Rx LLC | Pharmacy | 1255 Sw Loop 410 Ste 120, San Antonio, TX 78227-1666 | 2020-06-12 |
| 1396381224 | Texas State Pharmacy LLC | Pharmacy | 1314 E Sonterra Blvd Ste 2102, San Antonio, TX 78258-4286 | 2019-11-26 |
| 1538702956 | Zenith Rx, LLC | Pharmacy | 607 S Ww White Rd, San Antonio, TX 78220-1732 | 2019-10-18 |
| 1093366106 | Medcentrix Pharmacy, LLC | Pharmacy | 5720 Bandera Rd Ste 4b, San Antonio, TX 78238-1950 | 2019-09-20 |
| 1821648361 | Pharmacy 2 Plus LLC | Pharmacy | 9026 Culebra Rd Ste 107, San Antonio, TX 78251-2881 | 2019-09-17 |
| 1295381473 | Phyzdata Healthcare Solutions, LLC | Pharmacy | 3602 Paesanos Pkwy # 300a, San Antonio, TX 78231-1277 | 2019-08-14 |
| 1477108595 | Medcentral Pharmacy, LLC | Pharmacy | 8118 Fredericksburg Rd, San Antonio, TX 78229-3312 | 2019-08-06 |
| 1326600909 | Cvs Pharmacy Inc. | Pharmacy | 13343 Culebra Rd, San Antonio, TX 78253-6901 | 2019-07-03 |
| 1821657149 | Om Healthcare LLC | Pharmacy | 602 Bandera Rd, San Antonio, TX 78228-5203 | 2019-06-10 |
| 1831652296 | San Antonio Arthritis Care Centers Pllc | Pharmacy | 8527 Village Dr Ste 103, San Antonio, TX 78217-5507 | 2019-04-11 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78207 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.