Active NPI
Specialty Pharmaceutical Solutions
- Community/Retail Pharmacy
- San Antonio, TX
National Provider Identifier
1215352463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 27893
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2144400 | Other | PK |
Other names 1
- specialty pharmaceutical solutions
National Provider Directory
National Provider Directory- Tax ID family
- Gulf Coast Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialty Pharmacy
- Houston, TX
- NPI 1508123969
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
- Specialized Home Life, a Texas Limited Partnership
- Specialty Home Health Agency, Inc.
- Specialty Homecare LLC
- Specialty Imaging, LP
- Specialty Laboratories, Inc.
- Specialty Prosthetics & Orthotics of Texas LLC
- Specialty Select Care Center of San Antonio LLC
- Specialty Urology, PA
- Specialty1Partners
- Lainey Speck
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.