Organization Active NPI

518 Pharmaceutical Services LLC

Doing business as Lone Star Pharmacy

  • Community/Retail Pharmacy
  • Santa Fe, TX
National Provider Identifier
1144622259
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
29523 Issued in TX
Legal business name
518 PHARMACEUTICAL SERVICES LLC
Doing business as
Lone Star Pharmacy
Practice address
13230 FM 1764 Rd Ste B
Santa Fe, TX 77510-9673
Phone
(409) 925-9995
Fax
(409) 925-9991
NPI assigned
Sep 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Dr. Andrew Colin McDonald II, PHARM.D.NPI 1346874377
Title
President/Owner
Phone
(409) 750-1005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 29523 TX Primary

Addresses

Primary practice location

13230 FM 1764 Rd Ste B
Santa Fe, TX 77510-9673

Mailing address

13230 FM 1764 Rd Ste B
Santa Fe, TX 77510-9673
Phone (409) 925-9995

Other names 1

  • Lone Star Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200428001502 TX Part B Supplier - Pharmacy 4587094818 Practice locations: Santa Fe, TX

National Provider Directory

National Provider Directory

Locations

13230 FM 1764 Rd
Ste B
Santa Fe, TX 77510
Phone (409) 925-9995

4111 FM 1764 Rd
Ste F
Santa Fe, TX 77517
Phone (409) 925-9995

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1144622259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13230 FM 1764 RD STE B",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "775109673",
            "telephone_number": "409-925-9995",
            "fax_number": "409-925-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13230 FM 1764 RD STE B",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "775109673",
            "telephone_number": "409-925-9995",
            "fax_number": "409-925-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "518 PHARMACEUTICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "COLIN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "409-750-1005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lone Star Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lone Star Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Fe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.