MLDP OF TEXAS LP (NPI# 1538235643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538235643 |
| Entity Type | Organization |
| Organization Name | MLDP OF TEXAS LP |
| Other Organization Name | LEGENDS PHARMACY |
| Practice Address |
6601 Blanco Rd Ste 250 San Antonio TX 78216-6105 |
| Mailing Address |
6601 Blanco Rd Suite 201 San Antonio TX 78216-6102 |
| Practice Telephone | 2104342477 |
| Practice Fax Number | 8552986576 |
| Mailing Telephone | 2105102692 |
| Mailing Fax Number | 2107364438 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2017-06-19 |
| Authorized Official Name | ANGELA DIPAOLO (VP OF PHARMACY OPERATIONS) |
| Authorized Official Telephone | 2105102692 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
24014 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2097650 | 01 | |
| TX | 350197 | 05 |
| Other Name | Type Code |
|---|---|
| LEGENDS PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053453860 | Mldp of Texas Lp | Pharmacy | 6601 Blanco Rd Ste 125, San Antonio, TX 78216-6105 | 2007-02-12 |
| 1386749760 | Mldp of Texas Lp | Pharmacy | 222 Bell Ln Ste 5a, West Monroe, LA 71291-6303 | 2006-09-13 |
| 1922097401 | Mldp of Texas Lp | Pharmacy | 2093 N Collins Blvd, Ste 101, Richardson, TX 75080-8301 | 2005-10-18 |
| Street Address |
6601 BLANCO RD STE 250 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216-6105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407845977 | Angela D Dipaolo | Pharmacist | 6601 Blanco Rd Ste 250, San Antonio, TX 78216-6105 | 2005-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179820 | Damiana Lea Mcmahan | Speech-Language Pathologist | 12 Inter Park Blvd, #105, San Antonio, TX 78216 | 2020-03-17 |
| 1811530967 | Hacienda Hospice, Ltd | Hospice Care, Community Based | 101 W Silver Sands Dr, San Antonio, TX 78216 | 2019-10-22 |
| 1437792876 | Eddy Sidra | Optometrist | 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 | 2019-10-17 |
| 1083256796 | Tiffany Michelle Goericke | Physical Therapist | 502 East Ramsey, San Antonio, TX 78216 | 2019-10-14 |
| 1780246942 | Esperanza Eating Disorders Center, Pllc | Clinic/Center | 403 E. Ramsey, Suite 204, San Antonio, TX 78216 | 2019-07-08 |
| 1568938314 | Lyric Lea Lewis | Licensed Vocational Nurse | 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 | 2018-10-19 |
| 1912488206 | Rebecca Anna Poppe | Licensed Vocational Nurse | 1514 Vista Del Norte, San Antonio, TX 78216 | 2018-08-24 |
| 1205338779 | Bailee Hannah Mokry | Behavioral Analyst | 11306 Sir Winston, San Antonio, TX 78216 | 2018-03-01 |
| 1487155677 | Ojer Corbie | Behavior Technician | 11310 Sir Winston At Bld D, San Antonio, TX 78216 | 2018-02-23 |
| 1366943631 | Briana Nicole Rodriguez | Behavior Technician | 14235 Blanco Road, San Antonio, TX 78216 | 2018-02-22 |
| Find all providers in zip 78216 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1750900015 | Thousand Oaks Healthcare LLC | Pharmacy | 426 Castroville Rd Ste 5, San Antonio, TX 78207-5169 | 2020-04-15 |
| 1023575057 | Alamo Gs LLC | Pharmacy | 3320 Oakwell Ct Ste 103, San Antonio, TX 78218-3129 | 2019-02-26 |
| 1154578771 | Bgs Pharmacy Partners Inc | Pharmacy | 12311 Wetmore Rd, San Antonio, TX 78247-3635 | 2008-08-26 |
| 1265560528 | Jefferson Pharmacy Inc | Pharmacy | 917 Manor Dr, San Antonio, TX 78228-3227 | 2007-03-01 |
| 1194877449 | Fidel G Huerta Jr Inc | Pharmacy | 818 Brooklyn Ave Ste 2, Ste 2, San Antonio, TX 78215-1607 | 2007-01-17 |
| 1760582068 | Providerx of San Antonio, LLC | Pharmacy | 11335 West Ave, San Antonio, TX 78213-1341 | 2006-09-25 |
| 1063524973 | William Ward Wynn | Pharmacy | 5824 Babcock Rd, San Antonio, TX 78240-2134 | 2006-08-31 |
| 1174559694 | Neighborcare Pharmacy Services, Inc. | Pharmacy | 12460 Network Blvd, Suite 101, San Antonio, TX 78249-3365 | 2006-06-25 |
| 1447850359 | Farmacia Associates of San Antonio Inc. | Pharmacy | 919 Sw Military Dr Ste 105, San Antonio, TX 78221-1580 | 2020-10-29 |
| 1053927780 | Ortiz Pharmacy Inc | Pharmacy | 2515 Castroville Rd, San Antonio, TX 78237-3359 | 2020-09-17 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78216 |
Please comment or provide details below to improve the information on MLDP OF TEXAS LP.
| 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.