Organization Active NPI

High Performance Pharmacy LLC

  • Community/Retail Pharmacy
  • San Antonio, TX
National Provider Identifier
1285852111
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28300 Issued in TX
Legal business name
HIGH PERFORMANCE PHARMACY LLC
Doing business as
HIGH PERFORMANCE PHARMACY LLC
Practice address
21 Spurs LN
SL 120
San Antonio, TX 78240-1669
Phone
(210) 691-4779
Fax
(210) 691-4778
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Authorized official

Name
Jason ZuchaNPI 1043508823
Title
President/Pic
Phone
(210) 691-4779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28300 TX Primary

Addresses

Primary practice location

21 Spurs LN
SL 120
San Antonio, TX 78240-1669

Mailing address

21 Spurs LN
SL 120
San Antonio, TX 78240-1669
Phone (888) 757-8967

Other identifiers 1

IdentifierTypeStateIssuer
2100101OtherPK

Other names 1

  • HIGH PERFORMANCE PHARMACY LLC Doing business as

National Provider Directory

National Provider Directory

Locations

21 Spurs Ln
Ste SL-120
San Antonio, TX 78240
Phone (210) 691-4779

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1285852111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SPURS LN",
            "address_2": "SL 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401669",
            "telephone_number": "888-757-8967",
            "fax_number": "888-751-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SPURS LN",
            "address_2": "SL 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401669",
            "telephone_number": "210-691-4779",
            "fax_number": "210-691-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH PERFORMANCE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "ZUCHA",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "210-691-4779"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2100101",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIGH PERFORMANCE PHARMACY LLC",
            "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 Jul 15, 2015; 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.