Active NPI
Michael Thomas Enloe, RPH
- Pharmacist
- San Antonio, TX
National Provider Identifier
1295197457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22836
- Practice address
- 3603 Paesanos Pkwy Ste 102
San Antonio, TX 78231-1268 - Phone
- (210) 448-9098
- Fax
- (210) 764-1038
- NPI assigned
- Mar 25, 2016
- Last updated
- Apr 1, 2020
- Sex
- Male
- 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 | 22836 | TX | Primary |
Addresses
Primary practice location
3603 Paesanos Pkwy Ste 102
San Antonio, TX 78231-1268
Mailing address
4410 Morgans Run
San Antonio, TX 78247-2163
Phone (210) 430-6639
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22836 | Other | TX | TEXAS STATE BOARD OF PHARMACY |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22836 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585699200000",
"number": "1295197457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4410 MORGANS RUN",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782472163",
"telephone_number": "210-430-6639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3603 PAESANOS PKWY STE 102",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782311268",
"telephone_number": "210-448-9098",
"fax_number": "210-764-1038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENLOE",
"first_name": "MICHAEL",
"middle_name": "THOMAS",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-25",
"last_updated": "2020-04-01",
"certification_date": "2020-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "22836",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE BOARD OF PHARMACY",
"identifier": "22836",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
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- Enlightened Behavioral Health Systems, L.L.C.
- Enlightened Gems Home Healthcare Inc
- Enliven Counseling Services LLC
- Enliven Health and Wellness
- Enmotion Wellness, PLLC
- Dorothy Fern Ennis, BSE, TX LIC. SLP
- Margaret Susan Enoch, DDS
- Tameka Lechelle Enoch
- Collins Osazee Enoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.