HAVIN BRENT THACKER (NPI# 1417263039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417263039 |
| Entity Type | Individual |
| Full Name | HAVIN BRENT THACKER |
| Other Name | BRENT HAVIN THACKER |
| Credential | RPH |
| Practice Address |
5600 Business Park San Antonio TX 78218-5506 |
| Practice Telephone | 2107253344 |
| Practice Fax Number | 2109385357 |
| Mailing Telephone | 2107253344 |
| Mailing Fax Number | 2109385357 |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28974 | TX | Pharmacy Service Providers |
| Street Address |
5600 BUSINESS PARK |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78218-5506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386951911 | Isabel Thomas Guerra | Pharmacist | 5600 Business Park, San Antonio, TX 78218-5506 | 2010-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851901516 | Kenny Garza | Counselor | 5000 Walzem Rd, San Antonio, TX 78218 | 2020-08-06 |
| 1922507425 | Vanessa C Smith | Specialist/Technologist | 5110 Walzem Rd, Windcrest, TX 78218 | 2018-02-09 |
| 1245696616 | Timothy Myers | Pharmacist | 6520 Pratt Rd, San Antonio, TX 78218 | 2016-01-14 |
| 1063809622 | Stateserv Medical of San Antonio | Durable Medical Equipment & Medical Supplies | 4338 Tejasco Drive, San Antonio, TX 78218 | 2015-04-22 |
| 1053720821 | Riham Elfiky | Secured Medical Transport (VAN) | 2122 Austin Hwy, San Antonio, TX 78218 | 2014-08-06 |
| 1659785129 | Gwendolyn Bolden | Rehabilitation Practitioner | 4615 Walzem Road, 207, San Antonio, TX 78218 | 2014-06-12 |
| 1659798833 | Carlos Reynaldo Guerrero | Physician Assistant | 3453 N Pan Am Expy, San Antonio, TX 78218 | 2014-03-25 |
| 1073936050 | Wal-mart Stores Texas Lp | Technician/Technologist | 5626 Walzem Road, San Antonio, TX 78218 | 2014-01-28 |
| 1225370968 | Wendy M Voisin | Pharmacist | 6520 Fratt Rd., San Antonio, TX 78218 | 2013-03-20 |
| 1376817999 | Peter Joseph Ness | Ophthalmology | 8239 Campobello Dr, San Antonio, TX 78218 | 2012-02-29 |
| Find all providers in zip 78218 | ||||
| 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 | 78218 |
Please comment or provide details below to improve the information on HAVIN BRENT THACKER.
| 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.