SHAVANO OAKS PHARMACY LLC (NPI# 1437574449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437574449 |
| Entity Type | Organization |
| Organization Name | SHAVANO OAKS PHARMACY LLC |
| Other Organization Name | SHAVANO OAKS PHARMACY @ BROOKS |
| Practice Address |
3124 Sidney Brooks St Ste 570 San Antonio TX 78235-5113 |
| Mailing Address |
3603 Paesanos Pkwy Ste 102 San Antonio TX 78231-1268 |
| Practice Telephone | 2104414484 |
| Practice Fax Number | 2104414483 |
| Mailing Telephone | 2104489080 |
| Mailing Fax Number | 2107641038 |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2018-05-01 |
| Authorized Official Name | ADAM LERNER (GENERAL COUNSEL) |
| Authorized Official Telephone | 4802456151 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
29027 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2144470 | 01 | |
| TX | 146901 | 05 |
| Other Name | Type Code |
|---|---|
| Shavano Oaks Pharmacy @ Brooks | Other Name - Individual/Organization |
| Street Address |
3124 SIDNEY BROOKS ST STE 570 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78235-5113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679136212 | Clayton Stone | Student in an Organized Health Care Education/Training Program | 7615 Kennedy Cir, Bldg. 1, San Antonio, TX 78235 | 2019-04-18 |
| 1942763362 | Muhammad Omair Ahsan Ata | Student in an Organized Health Care Education/Training Program | 7615 Kennedy Hill Drive, San Antonio, TX 78235 | 2019-04-11 |
| 1225599707 | Kendra Johanna Le | Student in an Organized Health Care Education/Training Program | 7615 Kennedy Circle, Bldg. 1, San Antonio, TX 78235 | 2019-03-27 |
| 1326028713 | Thomas K O'neill | Urology | 3327 Research Plaza, Sute 403, San Antonio, TX 78235 | 2006-01-20 |
| 1215424577 | Teodora Isari | Nurse Practitioner | 3333 Research Plz, San Antonio, TX 78235 | 2018-04-21 |
| 1093259830 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 3124 Sidney Brooks St Ste 570b, San Antonio, TX 78235 | 2016-12-13 |
| 1740652106 | Michael Edward Cox | Nurse Practitioner | 3333 Research Plaza, San Antonio, TX 78235 | 2015-10-26 |
| 1912387473 | Patrick Malie | Emergency Medicine | 3333 Research Plz, San Antonio, TX 78235 | 2015-05-31 |
| 1912343096 | Douglas Russell | Urology | 3327 Research Plz Ste 403, San Antonio, TX 78235 | 2013-05-16 |
| 1669795506 | Vamsi K Surapaneni | Internal Medicine | 3333 Research Plaza, San Antonio, TX 78235 | 2010-03-07 |
| Find all providers in zip 78235 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502067 | West Lake Rx LLC | Pharmacy | 1255 Sw Loop 410 Ste 120, San Antonio, TX 78227-1666 | 2020-06-12 |
| 1396381224 | Texas State Pharmacy LLC | Pharmacy | 1314 E Sonterra Blvd Ste 2102, San Antonio, TX 78258-4286 | 2019-11-26 |
| 1538702956 | Zenith Rx, LLC | Pharmacy | 607 S Ww White Rd, San Antonio, TX 78220-1732 | 2019-10-18 |
| 1093366106 | Medcentrix Pharmacy, LLC | Pharmacy | 5720 Bandera Rd Ste 4b, San Antonio, TX 78238-1950 | 2019-09-20 |
| 1821648361 | Pharmacy 2 Plus LLC | Pharmacy | 9026 Culebra Rd Ste 107, San Antonio, TX 78251-2881 | 2019-09-17 |
| 1295381473 | Phyzdata Healthcare Solutions, LLC | Pharmacy | 3602 Paesanos Pkwy # 300a, San Antonio, TX 78231-1277 | 2019-08-14 |
| 1477108595 | Medcentral Pharmacy, LLC | Pharmacy | 8118 Fredericksburg Rd, San Antonio, TX 78229-3312 | 2019-08-06 |
| 1326600909 | Cvs Pharmacy Inc. | Pharmacy | 13343 Culebra Rd, San Antonio, TX 78253-6901 | 2019-07-03 |
| 1821657149 | Om Healthcare LLC | Pharmacy | 602 Bandera Rd, San Antonio, TX 78228-5203 | 2019-06-10 |
| 1831652296 | San Antonio Arthritis Care Centers Pllc | Pharmacy | 8527 Village Dr Ste 103, San Antonio, TX 78217-5507 | 2019-04-11 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78235 |
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| 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.