NPI age
19 years
Enumerated 2007-01-12
● 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
2015-05-19
Source: monthly bulk 2026-05
How this organization compares
Across 18509 active pharmacist providers in Texas.
NPI age
19 years
↑ 12 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
19010 Priest Blvd
Lytle, TX 78052
Mailing address
19010 Priest Blvd, Suite 101
Lytle, TX 78052
Authorized official
Raymond D. Ibanez
Owner/pharmacist
📞 2108842543
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 |
|---|---|---|
| 01 (TX) | 20307 | STATE BOARD OF PHARMACY |
| 05 (TX) | 144974 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
SUPER DRUG MART
Practice context
Single-site organization. Only one practice location on file.
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- 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.