Active NPI
Ronnie Wayne Lagrone
- Pharmacist
- San Antonio, TX
National Provider Identifier
1053607978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20570
- Practice address
- 2810 SW Military Dr
San Antonio, TX 78224-1032 - Phone
- (210) 927-4752
- Fax
- (210) 927-4752
- NPI assigned
- Jun 20, 2011
- Last updated
- Jun 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 20570 | TX | Primary |
Addresses
Primary practice location
2810 SW Military Dr
San Antonio, TX 78224-1032
Mailing address
2810 SW Military Dr
San Antonio, TX 78224-1032
Phone (210) 927-4752
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20570 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308528000000",
"number": "1053607978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 SW MILITARY DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782241032",
"telephone_number": "210-927-4752",
"fax_number": "210-927-4752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 SW MILITARY DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782241032",
"telephone_number": "210-927-4752",
"fax_number": "210-927-4752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGRONE",
"first_name": "RONNIE",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-20",
"last_updated": "2011-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "20570",
"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 Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.