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● Active Type 2 · Organization

Professional Pavilion Pharmacy Inc

Pharmacy·San Antonio, TX· NPI 1235294661 · Enumerated 2006 · 19 years on NPI
Professional Pavilion Pharmacy Inc is 1 of 5625 pharmacy organizations in Texas.
NPI age
19 years
Enumerated 2006-12-26
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Martin
Owner
Last NPPES update
2012-10-19
Source: monthly bulk 2026-05

How this organization compares

Across 5625 active pharmacy providers in Texas.

NPI age
19 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 62% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
315 N San Saba, Ste 110
San Antonio, TX 782073154
📞 2102127455fax 2102126643
Mailing address
315 N San Saba, Ste 110
San Antonio, TX 782073154
📞 2102127455fax 2102126643

Authorized official

Roberto Martin, MD
Owner
📞 2102717575

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

Suppliers › Pharmacy
  • Pharmacy Primary
    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...
    TX license #17417 taxonomy 3336C0003X
  • Pharmacy
    A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
    taxonomy 333600000X

Identifiers

TypeValueNotes
01 4599950 NCPDP PROVIDER IDENTIFICATION NUMBER

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • PROFESSIONAL PAVILION PHARMACY
    Type code 3 recorded 2012-10-19

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related

Pharmacy organizations in Texas
→ Texas hub
About this specialty
→ Specialty guide