Individual provider Active NPI

Miguel Angel Gomez Calderon

  • Pharmacist
  • San Antonio, TX
National Provider Identifier
1477426336
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
76392 Issued in TX
Practice address
4710 N Loop 1604 E Apt 11101
San Antonio, TX 78247-2376
Phone
(713) 429-3380
NPI assigned
Sep 26, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 76392 TX Primary

Addresses

Primary practice location

4710 N Loop 1604 E Apt 11101
San Antonio, TX 78247-2376

Mailing address

4710 N Loop 1604 E Apt 11101
San Antonio, TX 78247-2376
Phone (713) 429-3380

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

State licenses

LicenseStateTypeSpecialty
76392TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1477426336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 N LOOP 1604 E APT 11101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782472376",
            "telephone_number": "713-429-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 N LOOP 1604 E APT 11101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782472376",
            "telephone_number": "713-429-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ CALDERON",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "76392",
            "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 Sep 26, 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.