NPIMap

Organization Active NPI

Texas State University

Doing business as Texas State University Student Health Center Pharmacy

  • Community/Retail Pharmacy
  • San Marcos, TX
National Provider Identifier
1639218563
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
06046 Issued in TX
Legal business name
TEXAS STATE UNIVERSITY
Doing business as
Texas State University Student Health Center Pharmacy
Practice address
298 Student Center Dr.
San Marcos, TX 78666
Phone
(512) 245-3590
Fax
(512) 245-3652
NPI assigned
Feb 6, 2007
Last updated
Aug 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Dr. Emilio Carranco Jr., M.D.NPI 1730341660
Title
Student Health Center Director
Phone
(512) 245-2161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 06046 TX Primary

Addresses

Primary practice location

298 Student Center Dr.
San Marcos, TX 78666

Mailing address

601 University Dr
San Marcos, TX 78666-4684
Phone (512) 245-3590

Other identifiers 2

IdentifierTypeStateIssuer
06046OtherTXSTATE BOARD
4567763OtherTXNABP

Other names 1

  • Texas State University Student Health Center Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Texas State University5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

298 Student Center Dr
San Marcos, TX 78666
Phone (512) 245-2161

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1639218563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 UNIVERSITY DR",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786664684",
            "telephone_number": "512-245-3590",
            "fax_number": "512-245-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 STUDENT CENTER DR.",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "78666",
            "telephone_number": "512-245-3590",
            "fax_number": "512-245-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "CARRANCO",
        "authorized_official_first_name": "EMILIO",
        "authorized_official_title_or_position": "STUDENT HEALTH CENTER DIRECTOR",
        "authorized_official_telephone_number": "512-245-2161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "06046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD",
            "identifier": "06046",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4567763",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas State University Student Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.