PROVIDERX OF SAN ANTONIO, LLC (NPI# 1760582068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760582068 |
| Entity Type | Organization |
| Organization Name | PROVIDERX OF SAN ANTONIO, LLC |
| Other Organization Name | PROVIDERX OF SAN ANTONIO |
| Practice Address |
11335 West Ave San Antonio TX 78213-1341 |
| Practice Telephone | 2103993570 |
| Practice Fax Number | 8663350964 |
| Mailing Telephone | 2103993570 |
| Mailing Fax Number | 8663350964 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2010-05-17 |
| Authorized Official Name | TERRY ALLARD (GENERAL MANAGER) |
| Authorized Official Telephone | 8177784181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4537900 | 01 |
| Other Name | Type Code |
|---|---|
| PROVIDERX OF SAN ANTONIO | Doing Business As Name - Organization |
| Street Address |
11335 WEST AVE |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78213-1341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198311 | Suzanne Danial | Behavior Technician | Bloom Behavioral and Educational Solutions, 1850 Lockhill Selma Rd #106, San Antonio, TX 78213 | 2020-06-09 |
| 1497314991 | Martha Walch, Phd. | Psychologist | 6800 Park Ten Blvd., Suite 212 North, San Antonio, TX 78213 | 2019-06-08 |
| 1326540816 | Alexus Danielle Tant-quintero | Licensed Vocational Nurse | 1300 Patricia, San Antonio, TX 78213 | 2018-03-01 |
| 1841714672 | San Antonio Endodontics Associates LLC | Dentist | 1110 Nw Loop 410, Suite 515, San Antonio, TX 78213 | 2017-08-02 |
| 1104285022 | West Avenue Dental Partners Pllc | Dentist | 4812 West Avenue, Suite 101, San Antonio, TX 78213 | 2016-02-19 |
| 1568829570 | Stephanie Motes | Counselor | 1919 Nw Loop 410 Ste 201, San Antonio, TX 78213 | 2016-01-21 |
| 1508236506 | Pediatric Home Healthcare, LLC | Home Health | 6800 Park Ten Blvd Ste 140e, San Antonio, TX 78213 | 2015-10-02 |
| 1457775439 | Larry Roberto Dela Cruz | Specialist/Technologist, Other | 218 Mackey Drive, San Antonio, TX 78213 | 2014-02-11 |
| 1437424306 | Kellie Miller | Nurse Practitioner | 2211 Nw Military Highway, 207, Castle Hills, TX 78213 | 2012-03-12 |
| 1619248416 | Karri Ann Lusk | Psychologist | 2161 Nw Military Hwy., Suite 207, San Antonio, TX 78213 | 2012-01-25 |
| Find all providers in zip 78213 | ||||
| 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 |
| 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 |
| 1043586795 | Rehoboth Pharmacy Services | Pharmacy | 700 S Zarzamora St, Suite 108, San Antonio, TX 78207-5255 | 2012-03-27 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78213 |
Please comment or provide details below to improve the information on PROVIDERX OF SAN ANTONIO, LLC.
| 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.