Pacsouth Distribution Delaware LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

PACSOUTH DISTRIBUTION DELAWARE LLC

Doing business as

IOD Rx

Practice address

4310 West Ave
San Antonio, TX 78213-3033

Phone

(210) 541-7814

NPI assigned

Jun 21, 2023

Organization subpart

No

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

Authorized official

Name

Mr. John-David Collier

Title

Compliance Officer

Phone

(210) 887-7503

Specialties & licenses 2

Addresses

Other names 1

• IOD Rx Doing business as

Locations

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1366127748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 WEST AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782133033",
            "telephone_number": "210-541-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 WEST AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782133033",
            "telephone_number": "210-541-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACSOUTH DISTRIBUTION DELAWARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "JOHN-DAVID",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "210-887-7503",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IOD Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooke Pachon
• Pacific Hospice and Palliative Care, LLC
• Pacifica New F Estates LLC (Newforest Estates)
• Emily Pack, IOM
• Marshall Brandon Packard, MD
• Pact-Pediatric Associates at Clock Tower, LLC
• Misty Ann Paddack, RPH
• Kristina Paddock, RN
• Padeniran Corp, PLLC
• Jill Padgett

• Non-Pharmacy Dispensing Site in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Non-Pharmacy Dispensing Site in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.