Carvajal Pharmacy LTC LLC – Long Term Care Pharmacy, NPI 1265549638
Long Term Care Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Carvajal Pharmacy LTC LLC
119 HUIZAR REAR
SAN ANTONIO, TX 782142707
Phone: (210) 922-9031
Fax: (210) 927-5577
Type: Mailing
819 S ACME RD
SAN ANTONIO, TX 782372707
Phone: (210) 922-9031
Fax: (210) 927-5577
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-11-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-02-28 (102 days ago).
Enrollment records
2
Earliest due date
2026-02-28
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20201119000057 | O | Mass Immunization (Roster Biller Only) | TX | 2026-02-28 |
| O20201119000097 | O | Pharmacy | TX | 2026-03-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 91320 | Sarscv2 vac 30mcg trs-suc im | 980 | 967 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 857 | 846 | $0 |
| G0008 | Administration of influenza virus vaccine | 554 | 554 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 421 | 421 | $0 |
| 90674 | Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free | 133 | 133 | $0 |
Insurance plans in this area (ZIP 78214)
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