Active NPI
Texas Digestive Disease Consultants, PLLC
- Community/Retail Pharmacy
- San Antonio, TX
National Provider Identifier
1770683070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 23065
- Legal business name
- TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC
- Practice address
- 18707 Hardy Oak Blvd.
Suite 204
San Antonio, TX 78258 - Phone
- (210) 614-5506
- Fax
- (210) 614-5421
- NPI assigned
- Sep 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Jerome Weber, MD.
- Title
- Managing Officer
- Phone
- (210) 614-5506
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 23065 | TX | Primary |
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
18707 Hardy Oak Blvd.
Suite 204
San Antonio, TX 78258
Mailing address
1620 W. Northwest Hwy
Suite 100
Grapevine, TX 76051
Phone (817) 572-0009
Other names 3
- GI Alliance Pharmacy - San Antonio
- RECEPT PHARMACY
- ReCept Pharmacy #54
National Provider Directory
National Provider Directory- Tax ID family
- TX Digestive Disease Con
Other organizations with this tax ID 8
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Fort Worth, TX
- NPI 1053818344
-
- Community/Retail Pharmacy
- The Woodlands, TX
- NPI 1457892028
-
- Family Nurse Practitioner
- Flower Mound, TX
- NPI 1912308271
-
- Gastroenterology Physician
- Covington, LA
- NPI 1295428415
-
- Gastroenterology Physician
- Springdale, AR
- NPI 1508400425
-
- Gastroenterology Physician
- Picayune, MS
- NPI 1962215129
-
- Community/Retail Pharmacy
- Baton Rouge, LA
- NPI 1427695618
-
- Gastroenterology Physician
- Cary, NC
- NPI 1619790821
Locations
12850 Toepperwein Rd
Ste 101
Live Oak, TX 78233
18707 Hardy Oak Blvd
Ste 204
San Antonio, TX 78258
Phone (210) 614-5506
9150 Huebner Rd
Ste 125
San Antonio, TX 78240
Phone (210) 614-3915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703203200000",
"number": "1770683070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 W. NORTHWEST HWY",
"address_2": "SUITE 100",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "76051",
"telephone_number": "817-572-0009",
"fax_number": "817-572-0221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18707 HARDY OAK BLVD.",
"address_2": "SUITE 204",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78258",
"telephone_number": "210-614-5506",
"fax_number": "210-614-5421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS DIGESTIVE DISEASE CONSULTANTS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2023-12-22",
"certification_date": "2021-09-22",
"status": "A",
"authorized_official_last_name": "WEBER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "JEROME",
"authorized_official_title_or_position": "MANAGING OFFICER",
"authorized_official_telephone_number": "210-614-5506",
"authorized_official_credential": "MD."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "23065",
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "GI Alliance Pharmacy - San Antonio",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "RECEPT PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "RECEPT PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ReCept Pharmacy #54",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.