Active NPI
Advanced Doctors Prescribed Pharmacy
- Pharmacist
- San Antonio, TX
National Provider Identifier
1306047840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37743
- Legal business name
- ADVANCED DOCTORS PRESCRIBED PHARMACY
- Practice address
- 4499 Medical Dr
Methodist Plaza Suite 130
San Antonio, TX 78229-3735 - Phone
- (210) 615-3600
- Fax
- (210) 615-3601
- NPI assigned
- May 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marcellius Ihekwuaba Anunobi, RPH PHARMACIST
- Title
- President
- Phone
- (210) 615-3600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 37743 | TX | Primary |
Addresses
Primary practice location
4499 Medical Dr
Methodist Plaza Suite 130
San Antonio, TX 78229-3735
Mailing address
4499 Medical Dr
Methodist Plaza Suite 130
San Antonio, TX 78229-3735
Phone (210) 615-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145794 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
4499 Medical Dr
Ste 130
San Antonio, TX 78229
Phone (210) 615-3600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213228800000",
"number": "1306047840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4499 MEDICAL DR",
"address_2": "METHODIST PLAZA SUITE 130",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293735",
"telephone_number": "210-615-3600",
"fax_number": "210-615-3601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4499 MEDICAL DR",
"address_2": "METHODIST PLAZA SUITE 130",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293735",
"telephone_number": "210-615-3600",
"fax_number": "210-615-3601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED DOCTORS PRESCRIBED PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-31",
"last_updated": "2008-06-12",
"status": "A",
"authorized_official_last_name": "ANUNOBI",
"authorized_official_first_name": "MARCELLIUS",
"authorized_official_middle_name": "IHEKWUABA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "210-615-3600",
"authorized_official_credential": "RPH PHARMACIST"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "TX",
"license": "37743",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145794",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
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- Advanced Imaging Services, Inc
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.