Active NPI
Augustine Ndinika
- Pharmacist
- San Antonio, TX
National Provider Identifier
1740704410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 48135
- Practice address
- 4720 Bent Elm
San Antonio, TX 78259-2364 - Phone
- (928) 273-4827
- NPI assigned
- Aug 3, 2017
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| S014457 | AZ | MD | Pharmacist |
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.