Provider Demographics
NPI:1992263859
Name:NEXTDOOR PHARMACY INC
Entity type:Organization
Organization Name:NEXTDOOR PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CYRIAC
Authorized Official - Middle Name:
Authorized Official - Last Name:SCARIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-530-4442
Mailing Address - Street 1:102 BABCOCK RD # 102
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-3952
Mailing Address - Country:US
Mailing Address - Phone:210-530-4442
Mailing Address - Fax:
Practice Address - Street 1:102 BABCOCK RD # 102
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201-3952
Practice Address - Country:US
Practice Address - Phone:210-530-4442
Practice Address - Fax:210-756-6206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-08
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy