Texas Liver Consultants Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29635 Issued in TX

Legal business name

TEXAS LIVER CONSULTANTS INC

Doing business as

Liv-Well Pharmacy

Practice address

607 Camden St Ste 102
San Antonio, TX 78215-2100

Phone

(210) 390-0091

NPI assigned

Nov 24, 2014

Last updated

Jun 30, 2016By 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

Tammie Miskimins

Title

Manager

Phone

(817) 572-0009

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Liv-Well Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1245637040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 W. NORTHWEST HWY",
            "address_2": "STE. 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "76051",
            "telephone_number": "817-572-0009",
            "fax_number": "817-720-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 CAMDEN ST STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152100",
            "telephone_number": "210-390-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS LIVER CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "MISKIMINS",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-572-0009"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29635",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148970",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liv-Well Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Texas Labs LTD.
• Texas Laurel Ridge Hospital LP (Laurel Ridge Treatment Center)
• Texas Laurel Ridge Hospital LP (Laurel Ridge Treatment Center)
• Texas Laurel Ridge Hospital, L.P. (Laurel Ridge Treatment Center)
• Texas Lincs
• Texas Liver Consultants PA (Texas Liver Institute)
• Texas Manual Therapy Inc
• Texas Medical and Sleep Specialists, PLLC
• Texas Medical Laboratory Inc (baylor institute of metabolic disease)
• Texas Medical Transfer

• 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 Jun 30, 2016; 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.