OrganizationActive
San Antonio Pharmacy
NPI 1790111235 · Community/Retail Pharmacy · Pomona, CA
San Antonio Pharmacy is a Community/Retail Pharmacy organization in Pomona, CA (NPI 1790111235).
Provider details
- NPI number
- 1790111235
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- San Antonio Regional Hospital Inc
- Organization subpart
- Yes
- Authorized official
- Harris Koenig, President/Ceo(909) 985-2811
- License
- 51533 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
255 E Bonita Ave
Building 1, Suite 102
Pomona, CA 91767-1923
Phone: (909) 962-6430
Street-level locationGet directions
Mailing address
255 E Bonita Ave
Pomona, CA 91767-1923
Registry dates
- Enumerated
- 2013-09-16
- Last updated
- 2016-03-07
Frequently asked questions
- What is San Antonio Pharmacy's NPI number?
- San Antonio Pharmacy's National Provider Identifier (NPI) is 1790111235, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Antonio Pharmacy?
- San Antonio Pharmacy is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is San Antonio Pharmacy located?
- San Antonio Pharmacy's practice location on file with NPPES is 255 E Bonita Ave, Pomona, CA 91767-1923.
- What is San Antonio Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for San Antonio Pharmacy is (909) 962-6430.
- Who is the authorized official for San Antonio Pharmacy?
- The authorized official listed on San Antonio Pharmacy's NPPES record is Harris Koenig, President/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Antonio Pharmacy's NPI active?
- Yes — San Antonio Pharmacy's NPI (1790111235) is active in the NPPES registry as of the last update on 2016-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.