Individual provider Active NPI

Andrew McDonald II

  • Pharmacist
  • Santa Fe, TX
National Provider Identifier
1346874377
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
48897 Issued in TX
Practice address
4111 FM 1764 Rd Ste F
Santa Fe, TX 77517-3854
Phone
(409) 925-9995
Fax
(409) 925-9991
NPI assigned
Feb 28, 2020
Last updated
Feb 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 48897 TX Primary

Addresses

Primary practice location

4111 FM 1764 Rd Ste F
Santa Fe, TX 77517-3854

Mailing address

4111 FM 1764 Rd Ste F
Santa Fe, TX 77517-3854
Phone (409) 925-9995

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

State licenses

LicenseStateTypeSpecialty
48897TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sullivan S Drug LLC Current Accepting new patients
518 Pharmaceutical Services LLC CurrentSince Mar 1, 2020 Accepting new patients
Sullivan S Drug LLC Current Accepting new patients

Locations

4111 FM 1764 Rd
Ste F
Santa Fe, TX 77517
Phone (409) 925-9995

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1346874377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 FM 1764 RD STE F",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "775173854",
            "telephone_number": "409-925-9995",
            "fax_number": "409-925-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 FM 1764 RD STE F",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "775173854",
            "telephone_number": "409-925-9995",
            "fax_number": "409-925-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-28",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "48897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.

Verify at the official NPI Registry.