Organization Active NPI

Jyen Healthcare LLC.

Doing business as Express Pharmacy

  • Community/Retail Pharmacy
  • San Antonio, TX
National Provider Identifier
1821463506
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
30365 Issued in TX
Legal business name
JYEN HEALTHCARE LLC.
Doing business as
Express Pharmacy
Practice address
4402 E Southcross Ste 104
San Antonio, TX 78222-3520
Phone
(210) 333-3700
Fax
(210) 333-3707
NPI assigned
Dec 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Authorized official

Name
Sachin Patel
Title
Owner, Ao
Phone
(210) 333-3700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 30365 TX Primary

Addresses

Primary practice location

4402 E Southcross Ste 104
San Antonio, TX 78222-3520

Mailing address

4402 E Southcross Ste 104
San Antonio, TX 78222-3520
Phone (352) 216-5500

Other identifiers 2

IdentifierTypeStateIssuer
2155842OtherPK
148067MedicaidTX

Other names 1

  • Express Pharmacy Doing business as

National Provider Directory

National Provider Directory

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": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1821463506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 E SOUTHCROSS STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782223520",
            "telephone_number": "352-216-5500",
            "fax_number": "830-315-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 E SOUTHCROSS STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782223520",
            "telephone_number": "210-333-3700",
            "fax_number": "210-333-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JYEN HEALTHCARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2024-05-02",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SACHIN",
        "authorized_official_title_or_position": "OWNER,  AO",
        "authorized_official_telephone_number": "210-333-3700"
    },
    "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": "30365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155842",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148067",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Pharmacy",
            "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 May 2, 2024; 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.