Organization Active NPI

John M. Mohrmann, Inc.

  • Pharmacy
  • San Antonio, TX
National Provider Identifier
1609860725
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
10309 Issued in TX
Legal business name
JOHN M. MOHRMANN, INC.
Practice address
1303 McCullough Ave
San Antonio, TX 78212-5609
Phone
(210) 227-7207
Fax
(210) 223-5272
NPI assigned
Sep 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Mattie Trawick
Title
Director
Phone
(210) 224-1371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 10309 TX Primary

Addresses

Primary practice location

1303 McCullough Ave
San Antonio, TX 78212-5609

Mailing address

415 Camden St
San Antonio, TX 78215-1923
Phone (210) 224-1371

Other identifiers 1

IdentifierTypeStateIssuer
508743OtherTXBLUECROSSBLUESHIELD

Other names 1

  • WHITE CROSS PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John M Mohrmann Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609860725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 CAMDEN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151923",
            "telephone_number": "210-224-1371",
            "fax_number": "210-223-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 MCCULLOUGH AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125609",
            "telephone_number": "210-227-7207",
            "fax_number": "210-223-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M. MOHRMANN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRAWICK",
        "authorized_official_first_name": "MATTIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "210-224-1371",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "10309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "508743",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHITE CROSS PHARMACY",
            "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 Aug 22, 2020; 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.