RX Lifewatch Services, LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

28262 Issued in TX

Legal business name

RX LIFEWATCH SERVICES, LLC

Doing business as

LifeWatch Pharmacy

Practice address

2550 Boardwalk St
San Antonio, TX 78217-4417

Phone

(855) 366-6109

Fax

(888) 208-1097

NPI assigned

Sep 28, 2012

Organization subpart

No

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

Authorized official

Name

Mr. James Hammett

Title

Director of Credentialing

Phone

(615) 823-2322

Specialties & licenses 1

Addresses

Other names 1

• LifeWatch Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1548511660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 ELM HILL PIKE STE 108",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372103726",
            "telephone_number": "855-366-6109",
            "fax_number": "888-208-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 BOARDWALK ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782174417",
            "telephone_number": "855-366-6109",
            "fax_number": "888-208-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX LIFEWATCH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "HAMMETT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "615-823-2322",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "TX",
            "license": "28262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeWatch Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialty Pharmacy in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Specialty Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.