NPIMap

Organization Active NPI

Military Apothecary LP

  • Community/Retail Pharmacy
  • San Antonio, TX
National Provider Identifier
1669487286
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
24371 Issued in TX
Legal business name
MILITARY APOTHECARY LP
Practice address
418 N Loop 1604 W Ste 104
San Antonio, TX 78232-1456
Phone
(210) 802-0553
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Authorized official

Name
Dr. Raj Milan Chhadua, PHARMDNPI 1316273956
Title
Owner/Managing Partner
Phone
(214) 422-2598

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X 24371 TX Primary

Addresses

Primary practice location

418 N Loop 1604 W Ste 104
San Antonio, TX 78232-1456

Mailing address

PO Box 2735
Frisco, TX 75034-0051
Phone (469) 294-2001

Other identifiers 3

IdentifierTypeStateIssuer
4540399OtherNCPDP PROVIDER IDENTIFICATION NUMBER
145643MedicaidTX
32470OtherTXTEXAS STATE BOARD OF PHARMACY

Other names 4

  • ReNue Pharmacy Doing business as
  • ReNue RX #5 Doing business as
  • Vital Life Pharmacy Doing business as
  • NetCare Pharmacy #2 Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2187828Military Apothecary LP418 N Loop 1604 W Ste 104, San Antonio, TX 78232Certificate of waiverJul 7, 2026

National Provider Directory

National Provider Directory

Locations

418 N Loop 1604 W
Ste 104
San Antonio, TX 78232
Phone (210) 802-0553

810 SE Military Dr
#A
San Antonio, TX 78214
Phone (210) 923-4404

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1669487286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2735",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340051",
            "telephone_number": "469-294-2001",
            "fax_number": "469-888-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 N LOOP 1604 W STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321456",
            "telephone_number": "210-802-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILITARY APOTHECARY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "CHHADUA",
        "authorized_official_first_name": "RAJ",
        "authorized_official_middle_name": "MILAN",
        "authorized_official_title_or_position": "OWNER/MANAGING PARTNER",
        "authorized_official_telephone_number": "214-422-2598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "24371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4540399",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145643",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY",
            "identifier": "32470",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReNue Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ReNue RX #5",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vital Life Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NetCare Pharmacy #2",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.