Organization Active NPI

Lifecare Pharmacy of Austin LLC

  • Long Term Care Pharmacy
  • San Antonio, TX
National Provider Identifier
1629849831
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
LIFECARE PHARMACY OF AUSTIN LLC
Practice address
3110 Nogalitos Ste 107
San Antonio, TX 78225-2337
Phone
(210) 600-3282
Fax
(210) 549-4002
NPI assigned
Jan 16, 2024
Last updated
Jan 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Sreevidya Arvishetty
Title
Managing Member
Phone
(210) 600-3282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

3110 Nogalitos Ste 107
San Antonio, TX 78225-2337

Mailing address

3110 Nogalitos Ste 107
San Antonio, TX 78225-2337
Phone (210) 600-3282

National Provider Directory

National Provider Directory

Locations

3110 Nogalitos
Ste 107
San Antonio, TX 78225
Phone (210) 532-1345

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1629849831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 NOGALITOS STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782252337",
            "telephone_number": "210-600-3282",
            "fax_number": "210-549-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 NOGALITOS STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782252337",
            "telephone_number": "210-600-3282",
            "fax_number": "210-549-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE PHARMACY OF AUSTIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "ARVISHETTY",
        "authorized_official_first_name": "SREEVIDYA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "210-600-3282"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 16, 2024; 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.