Active NPI
Dudley Iles Klatt II, PHARM.D.
- Pharmacist
- San Antonio, TX
National Provider Identifier
1750856357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 47607
- Practice address
- 2425 Babcock Rd Ste 108a
San Antonio, TX 78229-4899 - Phone
- (210) 298-9000
- Fax
- (210) 298-9001
- NPI assigned
- Oct 10, 2018
- Last updated
- Oct 10, 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 | 47607 | TX | Primary |
| Pharmacist | 183500000X | 16601 | OK |
Addresses
Primary practice location
2425 Babcock Rd Ste 108a
San Antonio, TX 78229-4899
Mailing address
26921 Anemone BND
Boerne, TX 78015-5073
Phone (361) 227-0412
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16601 | OK | MD | Pharmacist |
| 47607 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Best Pharmacy LLC | Current | Accepting new patients | |
| Premium Pharma, LLC | Current | Accepting new patients | |
| Babcock Pharmacy LLC | Current | Accepting new patients | |
| NPI 1215352331 | Past | Accepting new patients |
Locations
2425 Babcock Rd
Ste 108A
San Antonio, TX 78229
Phone (210) 298-9000
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Pharmacy at Bergheim
- Community/Retail Pharmacy
- Boerne, TX
- NPI 1578052312
-
dba Hill Country Specialty Pharmacy
- Compounding Pharmacy
- Boerne, TX
- NPI 1811727159
-
- Community/Retail Pharmacy
- San Antonio, TX
- NPI 1326544131
-
- NPI 1215352331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1750856357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26921 ANEMONE BND",
"city": "BOERNE",
"state": "TX",
"postal_code": "780155073",
"telephone_number": "361-227-0412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 BABCOCK RD STE 108A",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294899",
"telephone_number": "210-298-9000",
"fax_number": "210-298-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLATT",
"first_name": "DUDLEY",
"middle_name": "ILES",
"name_suffix": "II",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-10",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "47607",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "16601",
"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 Oct 10, 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.