OrganizationActive
Super Drug Mart, Inc.
NPI 1447631734 · Pharmacist · San Antonio, TX
Super Drug Mart, Inc. is a Pharmacist organization in San Antonio, TX (NPI 1447631734).
Provider details
- NPI number
- 1447631734
- Entity type
- Organization
- Primary specialty
- PharmacistPharmacy Service Providers
- Organization subpart
- No
- Authorized official
- Raymond Ibanez, Owner/Pharmacist(830) 709-0360
- License
- 20307 (TX)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5555 Fredericksburg Rd
Suite 105
San Antonio, TX 78229-3500
Phone: (210) 495-7516
Fax: (210) 340-6998
Street-level locationGet directions
Mailing address
19010 Preist Blvd
Lytle, TX 78052-3486
Other names (DBA / former)
- Doing business as
- Super Drug Mart
Registry dates
- Enumerated
- 2015-06-12
- Last updated
- 2015-06-12
Frequently asked questions
- What is Super Drug Mart, Inc.'s NPI number?
- Super Drug Mart, Inc.'s National Provider Identifier (NPI) is 1447631734, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Super Drug Mart, Inc.?
- Super Drug Mart, Inc. is classified in the NPPES registry as Pharmacist (Pharmacy Service Providers).
- Where is Super Drug Mart, Inc. located?
- Super Drug Mart, Inc.'s practice location on file with NPPES is 5555 Fredericksburg Rd, San Antonio, TX 78229-3500.
- What is Super Drug Mart, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Super Drug Mart, Inc. is (210) 495-7516.
- Who is the authorized official for Super Drug Mart, Inc.?
- The authorized official listed on Super Drug Mart, Inc.'s NPPES record is Raymond Ibanez, Owner/Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Super Drug Mart, Inc.'s NPI active?
- Yes — Super Drug Mart, Inc.'s NPI (1447631734) is active in the NPPES registry as of the last update on 2015-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.