Spcsa PLLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28946 Issued in TX

Legal business name

SPCSA PLLC

Doing business as

Shavano Oaks Pharmacy @ Westover

Practice address

3903 Wiseman Blvd Ste 101
San Antonio, TX 78251-4402

Phone

(210) 441-4501

Fax

(210) 441-4502

NPI assigned

Dec 26, 2013

Reactivated

Mar 29, 2023

Last updated

Aug 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christina Marie Baker Hickerson, PHARMACISTNPI 1134405954

Title

Pharmacy Director

Phone

(210) 448-9080

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• Shavano Oaks Pharmacy @ Westover Doing business as
• Dennis Karasek MD, PLLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Spcsa PLLC

  dba Shavano Oaks Pharmacy

  • Community/Retail Pharmacy
  • Live Oak, TX
  • NPI 1962710087

  O20210331000650

  Same enrollment

Tax ID family

Spcsa PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Spcsa PLLC

  dba Spine and Pain Center of San Antonio

  • Durable Medical Equipment & Medical Supplies
  • Live Oak, TX
  • NPI 1508143777
  NPD tax ID
• Spcsa PLLC

  dba Spine and Pain Center of San Antonio

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
  • NPI 1578830543
  NPD tax ID
• Spcsa PLLC

  dba Shavano Oaks Pharmacy

  • Community/Retail Pharmacy
  • Live Oak, TX
  • NPI 1962710087
  NPD tax ID

Locations

Practitioners 4

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.

• Christina Baker Hickerson, PHARMACIST

  • Pharmacist
  • Live Oak, TX
  • NPI 1134405954
  Authorized official Same address or phone
• Jeffrey Patrick Conroy, CRNA

  • Certified Registered Nurse Anesthetist
  • San Antonio, TX
  • NPI 1205826096
  NPD
• Estella Salazar, ACNP

  • Nurse Practitioner
  • San Antonio, TX
  • NPI 1447583042
  NPD
• Caitlin Michelle Seiler, PA-C

  • Medical Physician Assistant
  • San Antonio, TX
  • NPI 1205462835
  NPD

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1235550815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 WISEMAN BLVD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514402",
            "telephone_number": "210-441-4501",
            "fax_number": "210-441-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 WISEMAN BLVD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514402",
            "telephone_number": "210-441-4501",
            "fax_number": "210-441-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPCSA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-26",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "deactivation_date": "2023-03-14",
        "reactivation_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "BAKER HICKERSON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "210-448-9080",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146889",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY",
            "identifier": "28946",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shavano Oaks Pharmacy @ Westover",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shavano Oaks Pharmacy @ Westover",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dennis Karasek MD, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Vicki J Sparks, MD
• Senovio C Sparrow, LPC
• Fuad Antonio Spath, M.D.
• Ashley Nicole Spaulding
• Jerhonda Kaye Spaulding, LPC-A, NCC
• Spcsa PLLC (Spine and Pain Center of San Antonio)
• Spcsa PLLC (Spine & Pain Center of San Antonio)
• Judith M Speakes, PA-C
• Timothy Speakman
• Joylaina Speaks, PHARM.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 Aug 25, 2025; 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.