Dustin William Koenning, R.PH., PHARM. D

Primary specialty

PharmacistTaxonomy code 183500000X

License

52428 Issued in TX

Practice address

6019 Randolph Blvd.
San Antonio, TX 78233

Phone

(210) 930-7200

Fax

(210) 930-7235

NPI assigned

Mar 22, 2017

Last updated

Mar 22, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

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.

• Impact Infusion Care, LLC.

  • Home Infusion Therapy Pharmacy
  • San Antonio, TX
  • NPI 1821774910
  NPD Authorized official
• Impact Infusion Care, LLC.

  • Home Infusion Therapy Pharmacy
  • Plano, TX
  • NPI 1457293656
  NPD

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1154852150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 RANDOLPH BLVD.",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78233",
            "telephone_number": "210-930-7200",
            "fax_number": "210-930-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 RANDOLPH BLVD.",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78233",
            "telephone_number": "210-930-7200",
            "fax_number": "210-930-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENNING",
        "first_name": "DUSTIN",
        "middle_name": "WILLIAM",
        "credential": "R.PH., PHARM. D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "52428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Morriss Koen, MSN, APRN, FNP-C
• Alexa Katharine Koenig, CRNA
• Kennon Lee Koenig, D.D.S.
• Kiara A Koenig
• Andrew Koenigs, PT
• Tammy Koenning, PHARMD
• Lauren Leigh Koep, PSY.D.
• Andrew Koepnick, MD
• Ashley S. Koepnick, MS, LPC-ASSOCIA, NCC
• Kermit L Koester, R.PH.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.