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

Super Drug Mart, Inc

Organization Pharmacist · NPI 1447631734

Super Drug Mart, Inc is a Pharmacist 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
Phone: (210) 495-7516
Fax: (210) 340-6998
Show map & directions

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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