Active NPI
David Eisenmenger, RPH
- Pharmacist
- San Antonio, TX
National Provider Identifier
1700480282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 32349
- Practice address
- 1515 S Ellison Dr
San Antonio, TX 78245-1519 - Phone
- (210) 274-2014
- NPI assigned
- Nov 25, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 32349 | TX | Primary |
Addresses
Primary practice location
1515 S Ellison Dr
San Antonio, TX 78245-1519
Mailing address
103 Caladium Dr
San Antonio, TX 78213-2402
Phone (210) 349-3314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32349 | TX | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606262400000",
"number": "1700480282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 CALADIUM DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782132402",
"telephone_number": "210-349-3314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 S ELLISON DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782451519",
"telephone_number": "210-274-2014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISENMENGER",
"first_name": "DAVID",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-25",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "32349",
"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 Nov 25, 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.