Super Drug Mart, Inc.
NPI 1447631734ActiveOrganization· Pharmacist· San Antonio, TX
Pharmacist in San Antonio, Texas, registered in NPPES in June 2015. The authorized official on file is Raymond D. Ibanez, PHARM.D., Owner/Pharmacist.
Overview
| NPI | 1447631734 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 12, 2015 |
| Last updated in NPPES | Jun 12, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 20307 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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