NPIMap

Organization Active NPI

Insta-Care Pharmacy Services Corporation

  • Long Term Care Pharmacy
  • San Antonio, TX
National Provider Identifier
1528091105
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
11128 Issued in TX
Legal business name
INSTA-CARE PHARMACY SERVICES CORPORATION
Practice address
3019 Interstate Dr.
San Antonio, TX 78219-1708
Phone
(210) 227-5262
Fax
(210) 227-2118
NPI assigned
Jul 8, 2006
Organization subpart
Yes
Parent organization
PHARMACY CORPORATION OF AMERICAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Allison L. Brown
Title
Secretary
Phone
(502) 630-7429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 11128 TX Primary

Addresses

Primary practice location

3019 Interstate Dr.
San Antonio, TX 78219-1708

Mailing address

PO Box 409244
Atlanta, GA 30384-9244
Phone (813) 378-6274

Other identifiers 3

IdentifierTypeStateIssuer
4568777OtherOTHER ID NUMBER-COMMERCIAL NUMBER
11128OtherTXTX BOARD OF PHARMACY
350056MedicaidTX

Other names 1

  • PharMerica Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210201000465 TX Part B Supplier - Mass Immunization (Roster Biller Only) 7012034036 Practice locations: San Antonio, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Beverly Enterrises

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 53

Organizations listed as members of this organization in the National Provider Directory.

View all 53

Locations

3019 Interstate Dr
San Antonio, TX 78219
Phone (210) 227-5262

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1528091105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 409244",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303849244",
            "telephone_number": "813-378-6274",
            "fax_number": "813-328-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 INTERSTATE DR.",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782191708",
            "telephone_number": "210-227-5262",
            "fax_number": "210-227-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTA-CARE PHARMACY SERVICES CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHARMACY CORPORATION OF AMERICA",
        "enumeration_date": "2006-07-08",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "502-630-7429"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "11128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4568777",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX BOARD OF PHARMACY",
            "identifier": "11128",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350056",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharMerica",
            "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 Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.