Organization Active NPI

Crawford Pharmacy of Pleasanton LLC

Doing business as Crawford Pharmacy

  • Community/Retail Pharmacy
  • San Antonio, TX
National Provider Identifier
1396093175
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28182 Issued in TX
Legal business name
CRAWFORD PHARMACY OF PLEASANTON LLC
Doing business as
Crawford Pharmacy
Practice address
145 W Hart Ave Ste 104
San Antonio, TX 78214-1491
Phone
(210) 932-1200
Fax
(210) 932-1201
NPI assigned
Aug 27, 2012
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Prem KalidindiNPI 1699102699
Title
Member
Phone
(917) 769-8014

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 28182 TX Primary

Addresses

Primary practice location

145 W Hart Ave Ste 104
San Antonio, TX 78214-1491

Mailing address

Crawford Pharmacy
PO Box 12929
San Antonio, TX 78212
Phone (917) 769-8014

Other identifiers 2

IdentifierTypeStateIssuer
146643MedicaidTX
2136444OtherPK

Other names 1

  • Crawford Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

145 W Hart Ave
Ste 104
San Antonio, TX 78214
Phone (210) 932-1200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1396093175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CRAWFORD PHARMACY",
            "address_2": "PO BOX 12929",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78212",
            "telephone_number": "917-769-8014",
            "fax_number": "210-569-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W HART AVE STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782141491",
            "telephone_number": "210-932-1200",
            "fax_number": "210-932-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD PHARMACY OF PLEASANTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-27",
        "last_updated": "2025-09-19",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "KALIDINDI",
        "authorized_official_first_name": "PREM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-769-8014"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146643",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136444",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crawford Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crawford Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 19, 2025; 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.