Organization Active NPI

Triad Pharmacy Inc

  • Community/Retail Pharmacy
  • San Antonio, TX
National Provider Identifier
1780878397
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
20086 Issued in TX
Legal business name
TRIAD PHARMACY INC
Practice address
1162 E Sonterra Blvd
Suite 100
San Antonio, TX 78258-4047
Phone
(210) 490-7711
NPI assigned
Aug 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Authorized official

Name
Mr. Larry Oliver, RPH
Title
President
Phone
(210) 854-7274

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 20086 TX
Community/Retail Pharmacy 3336C0003X 20086 TX Primary

Addresses

Primary practice location

1162 E Sonterra Blvd
Suite 100
San Antonio, TX 78258-4047

Mailing address

1162 E Sonterra Blvd
Suite 100
San Antonio, TX 78258-4047
Phone (210) 490-7711

Other names 1

  • Sonterra Rx Doing business as

National Provider Directory

National Provider Directory

Locations

1162 E Sonterra Blvd
Ste 100
San Antonio, TX 78258
Phone (210) 490-7711

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1780878397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 E SONTERRA BLVD",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584047",
            "telephone_number": "210-490-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1162 E SONTERRA BLVD",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584047",
            "telephone_number": "210-490-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-854-7274",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "20086",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "20086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonterra Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 2, 2009; 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.