Organization Active NPI

Alamo Ranch Pharmacy

  • Community/Retail Pharmacy
  • San Antonio, TX
National Provider Identifier
1578078655
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ALAMO RANCH PHARMACY
Practice address
5514 Lone Star Pkwy Ste 103
San Antonio, TX 78253
Phone
(210) 413-3099
Fax
(210) 413-3099
NPI assigned
Dec 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Authorized official

Name
Dr. Eugenia Osei-Wusu, PHARM.D
Title
Pic
Phone
(210) 591-1611

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

5514 Lone Star Pkwy Ste 103
San Antonio, TX 78253

Mailing address

5514 Lone Star Pkwy Ste 103
San Antonio, TX 78253-6770
Phone (210) 591-1611

Other identifiers 1

IdentifierTypeStateIssuer
2176889OtherPK

Other names 1

  • ALAMO RANCH PHARMACY & WELLNESS Doing business as

National Provider Directory

National Provider Directory

Locations

5514 Lone Star Pkwy
Ste 103
San Antonio, TX 78253
Phone (210) 300-0478

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1578078655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5514 LONE STAR PKWY STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536770",
            "telephone_number": "210-591-1611",
            "fax_number": "210-688-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5514 LONE STAR PKWY STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78253",
            "telephone_number": "210-413-3099",
            "fax_number": "210-413-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMO RANCH PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "OSEI-WUSU",
        "authorized_official_first_name": "EUGENIA",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "210-591-1611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176889",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALAMO RANCH PHARMACY & WELLNESS",
            "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 Sep 5, 2018; 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.