SLG PHARMACY LLC (NPI# 1710454186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710454186 |
Entity Type | Organization |
Organization Name | SLG PHARMACY LLC |
Practice Address |
2602 N Main Ave San Antonio TX 78212-2919 |
Mailing Address |
Po Box 12929 San Antonio TX 78212-0929 |
Practice Telephone | 2108810890 |
Practice Fax Number | 2105696464 |
Mailing Telephone | 9177698014 |
Enumeration Date | 2018-10-24 |
Last Update Date | 2018-10-24 |
Authorized Official Name | PREM KALIDINDI (MANAGING MEMBER) |
Authorized Official Telephone | 2108810890 |
Authorized Official Credential | RPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 146440 | 05 |
Other Name | Type Code |
---|---|
Laurel Heights Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295888949 | Slg Pharmacy LLC | Pharmacy | 2602 N Main Ave, San Antonio, TX 78212 | 2007-01-18 |
1578838058 | Slg Pharmacy LLC | Pharmacy | 2602 N Main Ave, San Antonio, TX 78212-2919 | 2012-03-15 |
Street Address |
2602 N MAIN AVE |
City | SAN ANTONIO |
State | TX |
Zip Code | 78212-2919 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295888949 | Slg Pharmacy LLC | Pharmacy | 2602 N Main Ave, San Antonio, TX 78212 | 2007-01-18 |
1578838058 | Slg Pharmacy LLC | Pharmacy | 2602 N Main Ave, San Antonio, TX 78212-2919 | 2012-03-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902451701 | Ninfa Hernandez Guzman | Assisted Living Facility | 325 E Locust St., San Antonio, TX 78212 | 2019-08-08 |
1366924730 | David Edward Dupuy | Occupational Therapist | 307 West Cypress, San Antonio, TX 78212 | 2018-09-03 |
1184100836 | Magenta Health, Inc. | Clinic/Center | 1222 North Main, Suite 115, San Antonio, TX 78212 | 2018-07-16 |
1497275762 | Dms Pharmacy, LLC | Pharmacy | 305 East Euclid, Suite 104, San Antonio, TX 78212 | 2017-06-27 |
1245693290 | Rebecca Lynn Sherman | Physical Therapist | 40 Ne Interstate 410 Loop, San Antonio, TX 78212 | 2016-03-29 |
1669886032 | Felise De Novo, PC | Counselor | 2400 Mccullough Ave., #12851, San Antonio, TX 78212 | 2014-06-13 |
1699102699 | Prem S. Kalidindi | Pharmacist | 2608 N. Main, Ste 1, San Antonio, TX 78212 | 2013-10-04 |
1073860052 | Sarah Nicole Percy Tovar | Dentist | 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 | 2012-08-09 |
1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
1730458381 | Neuriom, Pllc | Electrodiagnostic Medicine | 4007 Mccullough Ave, #243, San Antonio, TX 78212 | 2011-12-27 |
Find all providers in zip 78212 |
Taxonomy Code | 3336S0011X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Specialty Pharmacy |
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
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 |
---|---|---|---|---|
1346759651 | Inkrx,llc | Pharmacy | 11398 Bandera Rd Ste 302, San Antonio, TX 78250-6843 | 2017-09-29 |
1245637040 | Texas Liver Consultants Inc | Pharmacy | 607 Camden St Ste 102, San Antonio, TX 78215-2100 | 2014-11-24 |
1720496276 | American Specialty Pharmacy Inc | Pharmacy | 818 E Grayson St Ste A, San Antonio, TX 78208-1013 | 2014-07-29 |
1548511660 | Rx Lifewatch Services, LLC | Pharmacy | 2550 Boardwalk St, San Antonio, TX 78217-4417 | 2012-09-28 |
1316204217 | Davila Cd Pharmacy LLC | Pharmacy | 1423 Guadalupe St Ste 105, San Antonio, TX 78207-5568 | 2012-04-16 |
1184733669 | Procare Pharmacy, LLC | Pharmacy | 7950 Floyd Curl Dr 106 Tower 1, San Antonio, TX 78229 | 2006-08-29 |
1205819885 | Davila Pharmacy, Inc. | Pharmacy | 1423 Guadalupe St, Suite 108, San Antonio, TX 78207-5527 | 2005-11-28 |
1326692120 | American Specialty Pharmacy Inc | Pharmacy | 2414 Babcock Rd Ste 111, San Antonio, TX 78229-4870 | 2019-07-30 |
1962681007 | R & R Compounding Pharmacy LLC | Pharmacy | 2950 Thousand Oaks Dr, Suite 25, San Antonio, TX 78247-3361 | 2007-10-25 |
1831312297 | Kidz Medical Supply LLC | Pharmacy | 700 S Zarzamora St, Ste 302, San Antonio, TX 78207-5255 | 2007-04-11 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78212 |
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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.