Active NPI
Janet Thongkam, RPH
- Pharmacist
- San Antonio, TX
National Provider Identifier
1417678384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 74814
- Practice address
- 2515 Broadway St
San Antonio, TX 78215-1037 - Phone
- (210) 354-0101
- NPI assigned
- Sep 8, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 41114 | TX | |
| Pharmacist | 183500000X | 74814 | TX | Primary |
Addresses
Primary practice location
2515 Broadway St
San Antonio, TX 78215-1037
Mailing address
8531 Glen Mont
San Antonio, TX 78239-3039
Phone (210) 705-4118
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41114 | TX | MD | Pharmacist |
| 74814 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | Past | Accepting new patients | |
| H-E-B, LP | Past | Accepting new patients | |
| Marios Pharmacy Inc | 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 and National Provider Directory roles.
-
dba Stonegate Pharmacy on Broadway
- Community/Retail Pharmacy
- San Antonio, TX
- NPI 1376564310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737331200000",
"number": "1417678384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8531 GLEN MONT",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782393039",
"telephone_number": "210-705-4118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 BROADWAY ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782151037",
"telephone_number": "210-354-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THONGKAM",
"first_name": "JANET",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-08",
"last_updated": "2025-01-20",
"certification_date": "2025-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "41114",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "74814",
"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 Jan 20, 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.