Organization Active NPI

Sai Healthway Pharmacy LLC

  • Community/Retail Pharmacy
  • Live Oak, TX
National Provider Identifier
1376189365
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SAI HEALTHWAY PHARMACY LLC
Practice address
12881 N Ih 35 Ste 101
Live Oak, TX 78233-2966
Phone
(210) 314-7274
Fax
(210) 568-4806
NPI assigned
Nov 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Himanshu Patel, PHARMACISTNPI 1255117321
Title
Owner
Phone
(973) 752-8357

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

12881 N Ih 35 Ste 101
Live Oak, TX 78233-2966

Mailing address

4615 W Commerce St
San Antonio, TX 78237-1631
Phone (210) 646-0207

Other identifiers 1

IdentifierTypeStateIssuer
150203MedicaidTX

Other names 1

  • Healthway Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL surescript Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230616000866 TX Part B Supplier - Pharmacy 1759749161 Practice locations: Live Oak, TX
O20230712004526 TX DME Supplier - Pharmacy 1759749161 Practice locations: Live Oak, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Healthway Pharmacy12881 N Ih 35, Live Oak, TX 78233-2966(973) 752-8357 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Feb 23, 2023

National Provider Directory

National Provider Directory

Locations

12881 N Ih 35
Ste 101
Live Oak, TX 78233
Phone (210) 314-7274

12414 Toepperwein Rd
Live Oak, TX 78233
Phone (210) 654-0944

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": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1376189365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 W COMMERCE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782371631",
            "telephone_number": "210-646-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12881 N IH 35 STE 101",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782332966",
            "telephone_number": "210-314-7274",
            "fax_number": "210-568-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAI HEALTHWAY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HIMANSHU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-752-8357",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150203",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "surescript",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12414 Toepperwein Rd",
            "city": "Live Oak",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782333230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Healthway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.