Sonja L Banks-Gay, RPH
Individual provider Active NPI Pharmacist · Lackland, TX
NPI 1083949671 · NPPES record last updated Jul 1, 2014
Key facts
- NPI
- 1083949671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 34298 (TX)
- Practice address
- 2200 Bergquist Dr Ste 1
Lackland, TX 78236-9908 - Phone
- (210) 292-7100
- NPI assigned
- Oct 15, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 34298 | TX | Yes |
Addresses
Primary practice location
2200 Bergquist Dr Ste 1
Lackland, TX 78236-9908
Mailing address
2200 Bergquist Dr
San Antonio, TX 78236-9907
Phone (210) 292-7100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13044305 | Medicaid | TX |
Other names
- Ms. Sonja L Gay
Other providers in Lackland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.