Timberwood RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31911 Issued in TX

Legal business name

TIMBERWOOD RX LLC

Practice address

5563 Dezavala Rd Ste 180
San Antonio, TX 78249

Phone

(210) 404-4538

Fax

(210) 568-6076

NPI assigned

May 11, 2018

Organization subpart

No

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

Authorized official

Name

Meagan Ellesse Jacobs, RPH

Title

Pic

Phone

(210) 404-4538

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525996800000",
    "number": "1225528672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5563 DEZAVALA RD. STE 180",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78249",
            "telephone_number": "210-404-4538",
            "fax_number": "210-568-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5563 DEZAVALA RD STE 180",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78249",
            "telephone_number": "210-404-4538",
            "fax_number": "210-568-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERWOOD RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-11",
        "last_updated": "2018-05-11",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "MEAGAN",
        "authorized_official_middle_name": "ELLESSE",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "210-404-4538",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni Timaeus
• Timber Nursing and Rehab Center LLC
• Timberwood Childrens Dental Association PLLC
• Timberwood Family Orthodontics, PLLC
• Timberwood Physical Therapy
• Harold L Timboe, MD
• Timithy M Dunham MD PA
• Katherine R. Timlin, DMD
• Tracy C Timmer, FNP
• Iva Marie Timmerman, M.D.

• Community/Retail Pharmacy in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.