NPIMap

Organization Active NPI

Oncology Pharmacy Services, Inc.

Doing business as Texas Oncology Pharmacy - San Antonio Medical Center

  • Community/Retail Pharmacy
  • San Antonio, TX
National Provider Identifier
1275553711
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ONCOLOGY PHARMACY SERVICES, INC.
Doing business as
Texas Oncology Pharmacy - San Antonio Medical Center
Practice address
5206 Research Dr Ste 100
San Antonio, TX 78240-5251
Phone
(210) 595-5691
Fax
(469) 467-2535
NPI assigned
Jul 20, 2006
Last updated
Oct 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Authorized official

Name
Todd Kevin Bivona
Title
Revenue Cycle Manager
Phone
(972) 997-8103

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 18668 TX
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

5206 Research Dr Ste 100
San Antonio, TX 78240-5251

Mailing address

PO Box 731145
Dallas, TX 75373-1145
Phone (972) 997-8103

Other practice location 1

4411 Medical Dr Ste 100
San Antonio, TX 78229
Phone (210) 595-5691

Other identifiers 2

IdentifierTypeStateIssuer
2158486OtherPK
14336TXMedicaidTX

Other names 1

  • TEXAS ONCOLOGY PHARMACY - SAN ANTONIO MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160816002991 TX DME Supplier - Pharmacy 6002937190 Practice locations: San Antonio, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0501590Texas Oncology- San Antonio Medical Center5206 Research Drive, San Antonio, TX 78240AccreditationDec 22, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Texas Oncology Pharmacy San Antonio5206 Research Dr, San Antonio, TX 78240-5251(210) 595-5691 Epoetin|Immunosuppressive Drugs|Oral Anticancer Drugs Does not accept assignmentParticipating since May 26, 2000

National Provider Directory

National Provider Directory
Tax ID family
Oncology Pharmacy Services Inc46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

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

View all 45

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1275553711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 731145",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753731145",
            "telephone_number": "972-997-8103",
            "fax_number": "469-467-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5206 RESEARCH DR STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782405251",
            "telephone_number": "210-595-5691",
            "fax_number": "469-467-2535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4411 Medical Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78229",
            "country_code": "US",
            "telephone_number": "210-595-5691",
            "fax_number": "469-467-2535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONCOLOGY PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "BIVONA",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "972-997-8103"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "TX",
            "license": "18668",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158486",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14336TX",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEXAS ONCOLOGY PHARMACY - SAN ANTONIO MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.