Active NPI
Venezia Sepulveda, PHARMD
- Pharmacist
- San Antonio, TX
National Provider Identifier
1235806753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69158
- Practice address
- 6635 Bandera Rd
San Antonio, TX 78238-1412 - Phone
- (210) 681-8540
- NPI assigned
- Aug 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 69158 | TX | Primary |
Addresses
Primary practice location
6635 Bandera Rd
San Antonio, TX 78238-1412
Mailing address
106 Coastal LN
San Antonio, TX 78240-2984
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | N/A | ||
| SOAP URL | N/A |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69158 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
6635 Bandera Rd
San Antonio, TX 78238
Phone (210) 681-0540
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629676800000",
"number": "1235806753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 COASTAL LN",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782402984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6635 BANDERA RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782381412",
"telephone_number": "210-681-8540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEPULVEDA",
"first_name": "VENEZIA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-23",
"last_updated": "2021-08-23",
"certification_date": "2021-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "69158",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "6635 Bandera Rd",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782381412",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "6635 Bandera Rd",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782381412",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}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 Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.