Active NPI
Alexis Lorraine Amaya, RPH
- Pharmacist
- San Antonio, TX
National Provider Identifier
1053029272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 72993
- Practice address
- 17238 Bulverde Rd
San Antonio, TX 78247-2401 - Phone
- (210) 642-4700
- NPI assigned
- Nov 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 72993 | TX | Primary |
Addresses
Primary practice location
17238 Bulverde Rd
San Antonio, TX 78247-2401
Mailing address
4943 Augusta SQ
San Antonio, TX 78247-5670
Phone (210) 416-1454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72993 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1053029272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4943 AUGUSTA SQ",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782475670",
"telephone_number": "210-416-1454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17238 BULVERDE RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782472401",
"telephone_number": "210-642-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMAYA",
"first_name": "ALEXIS",
"middle_name": "LORRAINE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-07",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "72993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.