Active NPI
Jody R Welchans
- Pharmacist
- San Antonio, TX
National Provider Identifier
1376811562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 36873
- Practice address
- 1303 McCullough Ave Ste 128
San Antonio, TX 78212-5603 - Phone
- (210) 354-3993
- Fax
- (210) 354-2496
- NPI assigned
- Dec 2, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 36873 | TX | Primary |
Addresses
Primary practice location
1303 McCullough Ave Ste 128
San Antonio, TX 78212-5603
Mailing address
1303 McCullough Ave Ste 128
San Antonio, TX 78212-5603
Phone (210) 354-3993
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36873 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CBK Pharmacy LLC | Current | Accepting new patients | |
| CBK Pharmacy LLC | Current | Accepting new patients | |
| TXRX LLC Dba Fiestarx | Current | Accepting new patients | |
| Wholesale Grocery Services | Past | Accepting new patients |
Locations
1303 McCullough Ave
Ste 128
San Antonio, TX 78212
Phone (210) 227-7207
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- San Antonio, TX
- NPI 1043985278
-
- Long Term Care Pharmacy
- San Antonio, TX
- NPI 1104634419
-
- Community/Retail Pharmacy
- San Antonio, TX
- NPI 1053285692
-
- Community/Retail Pharmacy
- San Antonio, TX
- NPI 1346781945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734220800000",
"number": "1376811562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 MCCULLOUGH AVE STE 128",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782125603",
"telephone_number": "210-354-3993",
"fax_number": "210-354-2496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 MCCULLOUGH AVE STE 128",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782125603",
"telephone_number": "210-354-3993",
"fax_number": "210-354-2496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCHANS",
"first_name": "JODY",
"middle_name": "R",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-02",
"last_updated": "2024-12-15",
"certification_date": "2024-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "36873",
"primary": true
}
],
"identifiers": [],
"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 Dec 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.