Anthony Victor Fermin

Primary specialty

PharmacyTaxonomy code 333600000X

Practice address

6825 Bandera Rd
San Antonio, TX 78238-1359

Phone

(954) 663-4934

NPI assigned

Jun 11, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elevate Pharmacy LLC

  • Community/Retail Pharmacy
  • Leon Valley, TX
  • NPI 1659997393
  NPD Authorized official
• M P Healthcare Medical Supply LLC

  • Customized Equipment (DME)
  • San Antonio, TX
  • NPI 1245293992
  NPD
• Procare Biomedical Repair LLC

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
  • NPI 1912540022
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1124643549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8852 SKYWARD ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334965609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381359",
            "telephone_number": "954-663-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERMIN",
        "first_name": "ANTHONY",
        "middle_name": "VICTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "elevatepharmrx.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6825 Bandera Rd",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782381359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pamela G Ferguson, CNM
• Richard Burks Ferguson, MD
• Shelley Ferguson
• Kimberly R Feritta, PHARM D
• Fermin Briones Jr MD PA
• Elizabeth Fermin
• Elvin-Christopher R Fermin
• Vitoria Regia Fernandes Castro
• Anjali Maria Fernandes, M.A., CCC-SLP
• Cristian Pablo Fernandez Falcon, M. D.

• Pharmacy in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.