Organization Active NPI

Oakdell Pharmacy Inc

Doing business as Physicians Plaza Pharmacy

  • Community/Retail Pharmacy
  • San Antonio, TX
National Provider Identifier
1427043736
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
004153 Issued in TX
Legal business name
OAKDELL PHARMACY INC
Doing business as
Physicians Plaza Pharmacy
Practice address
8042 Wurzbach Rd
San Antonio, TX 78229-3818
Phone
(210) 614-5491
NPI assigned
Sep 13, 2005
Last updated
Oct 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Authorized official

Name
James Wolff
Title
Cfo
Phone
(210) 614-6200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 004153 TX Primary

Addresses

Primary practice location

8042 Wurzbach Rd
San Antonio, TX 78229-3818

Mailing address

8042 Wurzbach Rd
San Antonio, TX 78229-3818
Phone (210) 614-5491

Other identifiers 2

IdentifierTypeStateIssuer
4548369OtherNCPDP PROVIDER IDENTIFICATION NUMBER
141421MedicaidTX

Other names 1

  • PHYSICIANS PLAZA PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medplus Long Term Care Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8042 Wurzbach Rd
San Antonio, TX 78229
Phone (210) 614-5491

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1427043736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8042 WURZBACH RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293818",
            "telephone_number": "210-614-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8042 WURZBACH RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293818",
            "telephone_number": "210-614-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKDELL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "210-614-6200"
    },
    "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": "004153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4548369",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141421",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSICIANS PLAZA 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 Oct 1, 2012; 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.