Individual provider Active NPI

Augustine Ndinika

  • Pharmacist
  • San Antonio, TX
National Provider Identifier
1740704410
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
48135 Issued in TX
Practice address
4720 Bent Elm
San Antonio, TX 78259-2364
Phone
(928) 273-4827
NPI assigned
Aug 3, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 48135 TX Primary
Pharmacist 183500000X S014457 AZ

Addresses

Primary practice location

4720 Bent Elm
San Antonio, TX 78259-2364

Mailing address

4720 Bent Elm
San Antonio, TX 78259-2364

Other practice location 1

1201 S Main St
Boerne, TX 78006-2833
Phone (830) 357-5052

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

State licenses

LicenseStateTypeSpecialty
S014457AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740704410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 BENT ELM",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 BENT ELM",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592364",
            "telephone_number": "928-273-4827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 S Main St",
            "address_purpose": "LOCATION",
            "city": "Boerne",
            "state": "TX",
            "postal_code": "780062833",
            "country_code": "US",
            "telephone_number": "830-357-5052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NDINIKA",
        "first_name": "AUGUSTINE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "48135",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S014457",
            "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 Mar 17, 2018; 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.