MR. WASAKUL AL AZAD (NPI# 1073827192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073827192 |
| Entity Type | Individual |
| Full Name | MR. WASAKUL AL AZAD |
| Practice Address |
5803 Babcock Road San Antonio TX 78241 |
| Mailing Address |
1206 Olympic Club San Antonio TX 78260 |
| Practice Telephone | 2106416405 |
| Practice Fax Number | 2106416410 |
| Mailing Telephone | 2104945996 |
| Mailing Fax Number | 2106416410 |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2010-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 43613 | TX | Pharmacy Service Providers |
| Street Address |
5803 BABCOCK ROAD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518934553 | Maliwan Kositanon Fryling | Family Medicine | 204 Paul Wagner Dr, Kelly Usa, TX 78241 | 2006-03-08 |
| 1912975905 | Francis Thomas Holland | Family Medicine | 204 Paul Wagner Dr., Kelly Usa, TX 78241 | 2006-03-08 |
| 1629040126 | Jennifer Burke Sams | Dentist | 59th Dental Squadron, 204 Paul Wagner Dr, Building 1739, Kelly Usa, TX 78241 | 2006-02-07 |
| 1861489577 | David Lee Chin | Preventive Medicine | 3515 S. General Mcmullen, Afmoa/sghc Bldg 171, San Antonio, TX 78241 | 2005-09-29 |
| 1801875612 | Keith Edward Brandt | Preventive Medicine | 100 Paul Wagner Drive, San Antonio, TX 78241-0000 | 2006-01-10 |
| 1386743524 | Kelly Op Phcy | Military/U.S. Coast Guard Pharmacy | 204 Wagner Dr, Bldg 1740, Kelly Afb, TX 78241-5846 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164620 | Michelle Porter Douglas | Registered Nurse | 511 Denver Blvd, San Antonio, TX 78210-2105 | 2020-11-05 |
| 1366043416 | Ana Swain | Licensed Vocational Nurse | 10202 Bricewood Pl, San Antonio, TX 78254-1995 | 2020-11-05 |
| 1629679725 | Haley Brawner Warren | Speech-Language Pathologist | 5800 Broadway Ste 106, San Antonio, TX 78209-5257 | 2020-11-04 |
| 1083215222 | Caleb Paul Cruz | Physical Therapy Assistant | 98 Briggs Ave, Ste 990, San Antonio, TX 78224 | 2020-11-04 |
| 1124629308 | Megan Marie Burson | Nurse Practitioner | 9002 Culebra Rd Unit 100, San Antonio, TX 78251-2873 | 2020-11-04 |
| 1922609361 | Second Baptist Church | Clinic/Center | 3310 E Commerce St, San Antonio, TX 78220-1220 | 2020-11-03 |
| 1992306492 | Jennifer Suzanne Tatsch-gleason | Specialist/Technologist, Other | 7700 Floyd Curl Dr., San Antonio, TX 78229-3902 | 2020-11-03 |
| 1518568922 | Dignified Care, LLC | In Home Supportive Care | 6418 Eckhert Rd Apt 3203, San Antonio, TX 78240-3097 | 2020-11-03 |
| 1497356885 | Courtney Adcox | Counselor | 5503 Research Dr Apt 6105, San Antonio, TX 78240-5075 | 2020-11-03 |
| 1154922474 | Shavana Williams | Massage Therapist | 3787 Perrin Central Blvd Apt 927, San Antonio, TX 78217-2822 | 2020-11-03 |
| Find all providers in SAN ANTONIO | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416413 | Hieu Voqui | Pharmacist | 24403 Ih 10 W, San Antonio, TX 78257-1447 | 2020-10-27 |
| 1104424704 | Joseph Samaan | Pharmacist | 602 Artisan Way, San Antonio, TX 78260-4375 | 2020-10-15 |
| 1265046874 | Raymond Gilbert Mattes Jr. | Pharmacist | 911 Cougar Country, San Antonio, TX 78251-4049 | 2020-09-01 |
| 1679186977 | Tierra Wyatt-young | Pharmacist | 4703 W Commerce St # At, San Antonio, TX 78237-1502 | 2020-08-26 |
| 1689286353 | Karla Bianca Garza | Pharmacist | 6704 Biscay Bay, San Antonio, TX 78249-2573 | 2020-08-23 |
| 1962014076 | Joseph Zavala | Pharmacist | 103 Sw Military Dr, San Antonio, TX 78221-1650 | 2020-08-19 |
| 1366054413 | Lauren Preston | Pharmacist | 3502 Se Military Dr, San Antonio, TX 78223-3486 | 2020-08-19 |
| 1154930568 | James Cory Vasquez | Pharmacist | 9900 Wurzbach Road, San Antonio, TX 78230 | 2020-07-31 |
| 1902414741 | Simplicio Aldover | Pharmacist | 901 Bitters Rd, San Antonio, TX 78216-2347 | 2020-07-17 |
| 1487279691 | Chukwuemeka Ogbu | Pharmacist | 21920 Bulverde Rd # 102-103, San Antonio, TX 78259-2181 | 2020-06-12 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78241 |
Please comment or provide details below to improve the information on MR. WASAKUL AL AZAD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.