Smart Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

30351 Issued in TX

Legal business name

SMART PHARMACY LLC

Practice address

4390 Callaghan Rd
San Antonio, TX 78228-3401

Phone

(210) 858-7299

Fax

(210) 595-3709

NPI assigned

Dec 7, 2015

Organization subpart

No

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

Authorized official

Name

Phani Chennupati

Title

Officer,Ao

Phone

(210) 452-8025

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Smart Pharmacy LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raja S. Pathapati, M.D.

  • Hospitalist Physician
  • San Antonio, TX
  • NPI 1083669501
  NPD
• Christine A. Contreras, M.D.

  • General Practice Physician
  • San Antonio, TX
  • NPI 1619133238
  NPD (past)

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1275908949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20211 BRISTOL MESA",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592450",
            "telephone_number": "210-452-8025",
            "fax_number": "210-714-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4390 CALLAGHAN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782283401",
            "telephone_number": "210-858-7299",
            "fax_number": "210-595-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "CHENNUPATI",
        "authorized_official_first_name": "PHANI",
        "authorized_official_title_or_position": "OFFICER,AO",
        "authorized_official_telephone_number": "210-452-8025"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30351",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155852",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smart Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly M. Smalley, D.D.S.
• Smart Allergy Labs, LLC
• Smart Choice Medical Supply LLC
• Smart Choice Urgent Care
• Smart Home Health LLC
• Smart Ride Medical Transportation, LLC
• Jasmine Alicia Smart, PMHNP
• Susan R Smart, LPC
• William J Smart, FNP
• Smartt Counseling

• 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 Feb 23, 2016; 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.