Iris Anna Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

11221 Issued in TX

Legal business name

IRIS ANNA INC

Doing business as

patt's drug store

Practice address

5320 Broadway St
San Antonio, TX 78209-5714

Phone

(210) 826-0616

Fax

(210) 930-3784

NPI assigned

Feb 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John M Mohrmann, RPH

Title

V Pres

Phone

(830) 672-2317

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• patt's drug store Doing business as

Locations

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710021019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 BROADWAY ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095714",
            "telephone_number": "210-826-0616",
            "fax_number": "210-930-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 BROADWAY ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095714",
            "telephone_number": "210-826-0616",
            "fax_number": "210-930-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIS ANNA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOHRMANN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "V PRES",
        "authorized_official_telephone_number": "830-672-2317",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "11221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142811",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "patt's drug store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Evonne Ireland, M.D.
• Inna Ireton, LVN
• Casia Irick
• Samantha K Irick, SLP
• Sai Kalyani Irigineni
• Everard Irish, APRN
• Jorge Alejandro Irizarry Caro, MD
• Desiree Marie Irizarry Santiago
• Denise Irizarry
• Irma Cantu-Thompson Ddspc (Smiles-R-Us)

• 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 Aug 22, 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.