Pharm House Crystal City, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PHARM HOUSE CRYSTAL CITY, LLC

Doing business as

Castle Hills Pharmacy

Practice address

6415 Bandera Rd
San Antonio, TX 78238-1512

Phone

(210) 775-1419

Fax

(210) 775-1419

NPI assigned

Jan 18, 2018

Last updated

Jan 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandra L Scott

Title

Compliance Officer

Phone

(832) 454-2848

Specialties & licenses 1

Addresses

Other names 1

• CASTLE HILLS PHARMACY Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Lamb

  • Pharmacy Technician
  • Covington, GA
  • NPI 1922620228
  NPD
• Jennifer Dargis, PHARMD

  • Pharmacist
  • Crystal City, TX
  • NPI 1659994663
  NPD (past)
• Ashley Moron

  • Pharmacy Technician
  • Crystal City, TX
  • NPI 1740802727
  NPD (past)

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1548778053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381512",
            "telephone_number": "210-775-1419",
            "fax_number": "210-775-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6415 BANDERA RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381512",
            "telephone_number": "210-775-1419",
            "fax_number": "210-775-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARM HOUSE CRYSTAL CITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "832-454-2848"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CASTLE HILLS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlyn Phan
• Thao Minh Phan
• Tiffany Phan
• Phar Max LLC
• Julieann Phares
• Pharma Logistics, LLC Dba Fiesta RX#4
• Pharmacy 2 Plus LLC (Pharmacy Plus)
• Timothy A Pharo, LPC
• Pharos
• PHCC-Mystic Park Rehabilitation and Health Care Center, LLC (Mystic Park Rehabilitation and Healthcare Center)

• Community/Retail Pharmacy in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.