Active NPI
Angela D Persyn, PHARMD
- Pharmacist
- San Antonio, TX
National Provider Identifier
1407845977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 40763
- Practice address
- 6601 Blanco Rd Ste 250
San Antonio, TX 78216-6105 - Phone
- (210) 510-2692
- Fax
- (210) 736-4438
- NPI assigned
- Oct 18, 2005
- Sex
- Female
- 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 | 40763 | TX | Primary |
Addresses
Primary practice location
6601 Blanco Rd Ste 250
San Antonio, TX 78216-6105
Mailing address
6601 Blanco Rd Ste 201
San Antonio, TX 78216-6105
Phone (210) 510-2692
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40763 | TX | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MLDP of Texas LP | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Legends Pharmacy III
- Long Term Care Pharmacy
- San Antonio, TX
- NPI 1376300368
-
dba Albuquerque Pharmacy
- Long Term Care Pharmacy
- Albuquerque, NM
- NPI 1982753232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1407845977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6601 BLANCO RD STE 201",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782166105",
"telephone_number": "210-510-2692",
"fax_number": "210-736-4438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 BLANCO RD STE 250",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782166105",
"telephone_number": "210-510-2692",
"fax_number": "210-736-4438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSYN",
"first_name": "ANGELA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-18",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "40763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
- William Person, MPT
- Personal Care Management, Inc
- Personal Transformation Wellness Group, Inc.
- Personalized Prescription Physicians, LLC
- Personalized Prosthetics
- Blair Persyn, MS, RDN, LDN, CNSC
- Deborah Mercy Persyn, RN, IBCLC
- Marie Cecilia Perusek, M.D.
- Muhammad Pervez
- Perya PLLC (The Nova Dentistry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.