Organization Active NPI

Deerfield Healthcare, LLC

  • Community/Retail Pharmacy
  • San Antonio, TX
National Provider Identifier
1679910913
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DEERFIELD HEALTHCARE, LLC
Practice address
100 NE Loop 410 Ste 1500-B
San Antonio, TX 78216-4700
Phone
(210) 714-0130
Fax
(210) 634-2818
NPI assigned
May 28, 2013
Last updated
Jan 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Authorized official

Name
Reynaldo Lerma
Title
Managing Officer
Phone
(210) 714-0130

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

100 NE Loop 410 Ste 1500-B
San Antonio, TX 78216-4700

Mailing address

100 NE Loop 410 Ste 1500-B
San Antonio, TX 78216-4700
Phone (210) 714-0130

National Provider Directory

National Provider Directory

Locations

100 NE Loop 410
Ste 1500B
San Antonio, TX 78216
Phone (210) 714-0130

1862 W Bitters Rd
Ste 100
San Antonio, TX 78248
Phone (210) 718-0300

4733 Shavano Oak
Ste 101A
San Antonio, TX 78249

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": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1679910913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NE LOOP 410 STE 1500-B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164700",
            "telephone_number": "210-714-0130",
            "fax_number": "210-634-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NE LOOP 410 STE 1500-B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164700",
            "telephone_number": "210-714-0130",
            "fax_number": "210-634-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERFIELD HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "LERMA",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "210-714-0130"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 7, 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.