Davila Pharmacy, Inc.
Pharmacy
1423 Guadalupe St, Suite 108, San Antonio
Texas, 78207-5527
210-226-5293 210-224-9257
Davila Pharmacy, Inc. is a Pharmacy in San Antonio, Texas. It is located at 1423 Guadalupe St, Suite 108, San Antonio and it's customer support contact number is 210-226-5293. The authorized person of Davila Pharmacy, Inc. is Mr. Rudy Davila Iii, R.PH. who is Vice President Owner of the pharmacy and his contact number is 210-226-5293. Active license number of Davila Pharmacy, Inc. is 01055 for Pharmacy in Texas. Davila Pharmacy, Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Davila Pharmacy, Inc. is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Davila Pharmacy, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Davila Pharmacy, Inc. |
| Type: | Pharmacy |
| Location: | 1423 Guadalupe St, Suite 108, San Antonio,
Texas, 78207-5527 |
| Phone: | 210-226-5293 |
| Fax: | 210-224-9257 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Rudy Davila Iii |
| Credentials: | R.PH. |
| Position: | Vice President Owner |
| Contact Number: | 210-226-5293 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1205819885 |
| NPI Enumeration Date: | 28 Nov, 2005 |
| NPI Last Update On: | 04 Dec, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Davila Pharmacy, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 01055 | Texas | Primary | |
| Specialty Pharmacy | 01055 | Texas | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 079060201 | Other | Texas | Cshcn |
| 125943402 | Medicaid | Texas | |
| 125943403 | Medicaid | Texas | |
| 013612901 | Medicaid | Texas | |
| 1255943401 | Other | Texas | Cshcn |
Medicare Enrollment:
Davila Pharmacy, Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0345146627 | O20031209000072 | Davila Pharmacy, Inc. | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 0345146627 | O20100930017455 | Davila Pharmacy, Inc. | DME SUPPLIER - PHARMACY |
Products Available:
Davila Pharmacy, Inc. has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Mail Order | • Blood Glucose Monitors & Supplies: Non-mail Order |
| • Breast Prostheses & Accessories | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Diabetic Shoes & Inserts: Custom Fabricated |
| • Diabetic Shoes & Inserts: Prefabricated | • Enteral Equipment And/or Supplies |
| • Enteral Nutrients | • Heat & Cold Applications |
| • Hospital Beds: Electric | • Hospital Beds: Manual |
| • Nebulizer Equipment & Supplies | • Orthoses: Off-the-shelf |
| • Orthoses: Prefabricated | • Ostomy Supplies |
| • Parenteral Equipment And/or Supplies | • Patient Lifts |
| • Respiratory Suction Pumps | • Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads |
| • Surgical Dressings | • Tracheostomy Supplies |
| • Traction Equipment | • Urological Supplies |
| • Walkers | • Wheelchair Seating/cushions |
| • Wheelchairs & Accessories: Standard Manual | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1423 Guadalupe St, Suite 108
San Antonio, Texas |
| Zip: | 78207-5527 |
| Phone Number: | 210-226-5293 |
| Fax Number: | 210-224-9257 |
Patients can reach Davila Pharmacy, Inc. at
1423 Guadalupe St, Suite 108, San Antonio, Texas or can
call on customer care at 210-226-5293.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.