Davila Pharmacy, Inc.
NPI 1205819885ActiveOrganization· Pharmacy· San Antonio, TX
Pharmacy in San Antonio, Texas, registered in NPPES in November 2005. The authorized official on file is Rudy Davila, R.PH., Vice President Owner. Enrolled in Medicare as dme supplier - pharmacy and part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1205819885 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 28, 2005 |
| Last updated in NPPES | Dec 4, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 01055 | TX |
| Pharmacy, Specialty Pharmacy | 3336S0011X | 01055 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (TX); Part B Supplier - Mass Immunization (Roster Biller Only) (TX); Part B Supplier - Pharmacy (TX) |
|---|
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