Organization Active NPI

Elite Care RX LLC

  • Community/Retail Pharmacy
  • San Antonio, TX
National Provider Identifier
1326518887
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ELITE CARE RX LLC
Practice address
11888 Starcrest Dr Ste 113
San Antonio, TX 78247-4116
Phone
(210) 462-7797
NPI assigned
Nov 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Authorized official

Name
Efosa Osagie
Title
Owner
Phone
(210) 462-7797

Specialties & licenses 1

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

Addresses

Primary practice location

11888 Starcrest Dr Ste 113
San Antonio, TX 78247-4116

Mailing address

11888 Starcrest Dr Ste 113
San Antonio, TX 78247-4116

Other identifiers 1

IdentifierTypeStateIssuer
32363OtherPPO INSURANCE

National Provider Directory

National Provider Directory

Locations

11888 Starcrest Dr
Ste 113
San Antonio, TX 78247
Phone (210) 462-7797

Practitioners & affiliated clinicians

Practitioners 1

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": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1326518887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11888 STARCREST DR STE 113",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11888 STARCREST DR STE 113",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474116",
            "telephone_number": "210-462-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "OSAGIE",
        "authorized_official_first_name": "EFOSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-462-7797"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO INSURANCE",
            "identifier": "32363",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 27, 2018; 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.