Organization Active NPI

City of San Angelo

  • Pharmacy
  • San Angelo, TX
National Provider Identifier
1578638607
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
00455 Issued in TX
Legal business name
CITY OF SAN ANGELO
Practice address
2 City Hall Plaza
San Angelo, TX 76903
Phone
(325) 657-4500
Fax
(325) 481-2812
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Mr. Harold M Dominguez
Title
City Manager
Phone
(325) 657-4241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 00455 TX Primary

Addresses

Primary practice location

2 City Hall Plaza
San Angelo, TX 76903

Mailing address

72 West College
Room 104
San Angelo, TX 76903
Phone (325) 657-4359

Other names 1

  • City County Pharmacy Other name

National Provider Directory

National Provider Directory

Locations

72 W College Ave
Rm 104
San Angelo, TX 76903

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1578638607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 WEST COLLEGE",
            "address_2": "ROOM 104",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76903",
            "telephone_number": "325-657-4359",
            "fax_number": "325-655-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CITY HALL PLAZA",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76903",
            "telephone_number": "325-657-4500",
            "fax_number": "325-481-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SAN ANGELO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CITY MANAGER",
        "authorized_official_telephone_number": "325-657-4241",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "00455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City County Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.