Riley Charles Frausto
Pharmacist in San Antonio, TX. Individual provider (NPI-1).
NPI number1053923367
StatusActive
Last updated in NPPESAug 18, 2020
Details
- NPI
- 1053923367
- Entity type
- Individual (NPI-1)
- Name
- Riley Charles Frausto
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 18, 2020
- Certification date
- Aug 18, 2020
- Last updated
- Aug 18, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 63567 | TX | Yes |
Practice location
502 New Valley Hi DrSan Antonio, TX 78227-4394
Phone 210-673-0817
Mailing address
8711 Bowens Crossing St Apt 7102San Antonio, TX 78250-2773
Phone 254-462-1044
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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