Swagath LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SWAGATH LLC

Practice address

5107 Medical Dr
Ste #202
San Antonio, TX 78229

Phone

(409) 225-2098

Fax

(877) 701-9241

NPI assigned

Sep 30, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Pravallika Kali

Title

Officer

Phone

(409) 225-2098

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Forney Specialty Pharmacy Doing business as
• RX Konnect Doing business as

Locations

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1669013793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5107 MEDICAL DR",
            "address_2": "STE #202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "409-225-2098",
            "fax_number": "877-701-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5107 MEDICAL DR",
            "address_2": "STE #202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "409-225-2098",
            "fax_number": "877-701-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAGATH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "KALI",
        "authorized_official_first_name": "PRAVALLIKA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "409-225-2098",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150130",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forney Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RX Konnect",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Scott Svatek, MD
• Melissa Dziuk Svoboda, MD
• Marcela Svojsik, M.D
• SW Diagnostic Center, PA
• SW Military
• Linda Jacquiline Swaim
• Ana Swain
• Beatrice Swain, LCDC
• Sowmya Swaminathan
• Swan Wellness Center LLC

• Community/Retail Pharmacy in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Community/Retail Pharmacy in Texas

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