NPI age
10 years
Enumerated 2015-06-12
● Active Type 2 · Organization
Super Drug Mart, Inc.
Super Drug Mart, Inc. is 1 of 18509 pharmacist organizations in Texas.
Primary specialty
Pharmacist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ibanez
Owner/pharmacist
Last NPPES update
2015-06-12
Source: monthly bulk 2026-05
How this organization compares
Across 18509 active pharmacist providers in Texas.
NPI age
10 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-06Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
5555 Fredericksburg Rd, Suite 105
San Antonio, TX 782293500
Mailing address
19010 Preist Blvd, Suite 101
Lytle, TX 780523486
Authorized official
Raymond D Ibanez, PHARM.D.
Owner/pharmacist
📞 8307090360
Individual providers at this organization
9 individual providers on file at this primary practice address.
- Kimberly Beck, LPCI Counselor NPI 1073998134
- Sheila Delgado Counselor NPI 1013380559
- Margarita Gomez, LPC Counselor NPI 1891137196
- Paula Hernandez, LPC Counselor NPI 1336232263
- Susan Perez, MSW, LCSW Social Worker NPI 1598945842
- Anna Rodriguez, LMFTA Counselor NPI 1144676750
- Carolin Smith, LMSW Social Worker NPI 1164882684
- Nancy Taft, LPC Counselor NPI 1659702843
- Liliana Venegas-Brown, LPC INTERN Counselor NPI 1477816106
Specialties
-
Pharmacist PrimaryAn individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 144974 | |
| 01 (TX) | 20307 | STATE BOARD OF PHARMACY |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Super Drug Mart
Practice context
Multi-provider organization. 9 individual providers on file at this primary address.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.