Active NPI
Wasakul Al Azad
- Pharmacist
- San Antonio, TX
National Provider Identifier
1073827192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43613
- Practice address
- 5803 Babcock Road
San Antonio, TX 78241 - Phone
- (210) 641-6405
- Fax
- (210) 641-6410
- NPI assigned
- Jul 30, 2010
- Last updated
- Jul 30, 2010
- 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 | 43613 | TX | Primary |
Addresses
Primary practice location
5803 Babcock Road
San Antonio, TX 78241
Mailing address
1206 Olympic Club
San Antonio, TX 78260
Phone (210) 494-5996
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 |
|---|---|---|---|
| 43613 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280448000000",
"number": "1073827192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 OLYMPIC CLUB",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78260",
"telephone_number": "210-494-5996",
"fax_number": "210-641-6410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5803 BABCOCK ROAD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78241",
"telephone_number": "210-641-6405",
"fax_number": "210-641-6410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZAD",
"first_name": "WASAKUL",
"middle_name": "AL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-30",
"last_updated": "2010-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "43613",
"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 Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.