Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Super Drug Mart, Inc

Organization Pharmacist · NPI 1447631734

Super Drug Mart, Inc provides Pharmacist services in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2015.

Licensed in
TX
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5555 Fredericksburg Rd Ste 105
San Antonio, TX 78229-3500 Not confirmed with CMS for 11 years — call before visiting
Phone: (210) 495-7516
Fax: (210) 340-6998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 20307 (TX)

Record details

NPI number1447631734
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Ibanez — Owner/Pharmacist · (830) 709-0360
Other names Super Drug Mart
NPI enumeratedJune 12, 2015
Last updated in NPPESJune 12, 2015
Mailing address19010 Preist Blvd, Suite 101, Lytle, TX 78052-3486

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