SLG Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

1935 Issued in TX

Legal business name

SLG PHARMACY LLC

Doing business as

Laurel Heights Pharmacy

Practice address

2602 N Main Ave
San Antonio, TX 78212-2919

Phone

(210) 736-3161

NPI assigned

Mar 15, 2012

Last updated

Mar 21, 2012By 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

Annapurna Maddali

Title

Officer

Phone

(917) 769-8014

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Laurel Heights Pharmacy Doing business as

Tax ID family

Laurel Heights Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• SLG Pharmacy LLC

  dba Laurel Heights Pharmacy

  • Specialty Pharmacy
  • San Antonio, TX
  • NPI 1710454186
  NPD tax ID

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1578838058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 N MAIN AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122919",
            "telephone_number": "210-736-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 N MAIN AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122919",
            "telephone_number": "210-736-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLG PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "MADDALI",
        "authorized_official_first_name": "ANNAPURNA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "917-769-8014"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "1935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5905356",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Heights Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sleepexaminations LLC
• Sleepone Healthcare Services LLC
• Sleepwalker LLC
• Yury Sless, M.D
• Elise Linke Sletten, APRN, PMHNP-BC
• SLG Pharmacy LLC (Laurel Heights Pharmacy)
• Slimcare Texas, PLLC
• Chris T Slininger, PT
• Rebecca Slininger, FNP
• Arnold Slive, PHD

• Long Term Care Pharmacy in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Long Term Care Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.