Individual provider Active NPI

Jessica Ann Michaels, PHARMD

  • Pharmacist
  • San Antonio, TX
National Provider Identifier
1396314571
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
37066 Issued in TX
Practice address
3503 Fredericksburg Rd Ste 450
San Antonio, TX 78201-3969
Phone
(877) 432-9355
Fax
(866) 466-0104
NPI assigned
Jun 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 37066 TX Primary

Addresses

Primary practice location

3503 Fredericksburg Rd Ste 450
San Antonio, TX 78201-3969

Mailing address

3503 Fredericksburg Rd Ste 450
San Antonio, TX 78201-3969
Phone (877) 432-9355

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL NA

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
37066TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
H-E-B, LP CurrentSince Jun 27, 2021 Accepting new patients
H-E-B, LP PastSince Jun 27, 2021 Accepting new patients

Locations

3503 Fredericksburg Rd
Ste 450
San Antonio, TX 78201
Phone (877) 432-9355

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1396314571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 FREDERICKSBURG RD STE 450",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782013969",
            "telephone_number": "877-432-9355",
            "fax_number": "866-466-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 FREDERICKSBURG RD STE 450",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782013969",
            "telephone_number": "877-432-9355",
            "fax_number": "866-466-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELS",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "37066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "3503 Fredericksburg Rd Ste 450",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782013969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 22, 2021; 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.