Organization Active NPI

Specialty Pharmaceutical Solutions

  • Community/Retail Pharmacy
  • San Antonio, TX
National Provider Identifier
1215352463
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27893 Issued in TX
Legal business name
SPECIALTY PHARMACEUTICAL SOLUTIONS
Doing business as
specialty pharmaceutical solutions
Practice address
4503 Dezavala Rd Ste 112
San Antonio, TX 78249-2060
Phone
(210) 375-4620
Fax
(281) 715-5641
NPI assigned
Feb 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Authorized official

Name
Sue Smith
Title
Partner/Manager
Phone
(210) 375-4620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 27893 TX Primary

Addresses

Primary practice location

4503 Dezavala Rd Ste 112
San Antonio, TX 78249-2060

Mailing address

4503 Dezavala Rd Ste 112
San Antonio, TX 78249-2060
Phone (210) 375-4620

Other identifiers 1

IdentifierTypeStateIssuer
2144400OtherPK

Other names 1

  • specialty pharmaceutical solutions Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gulf Coast Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1215352463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 DEZAVALA RD STE 112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492060",
            "telephone_number": "210-375-4620",
            "fax_number": "281-715-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 DEZAVALA RD STE 112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492060",
            "telephone_number": "210-375-4620",
            "fax_number": "281-715-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY PHARMACEUTICAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "PARTNER/MANAGER",
        "authorized_official_telephone_number": "210-375-4620"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144400",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "specialty pharmaceutical solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 17, 2014; 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.