Babcock Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

32121 Issued in TX

Legal business name

BABCOCK PHARMACY LLC

Doing business as

Premier Pharmacy

Practice address

2425 Babcock Rd Ste 108a
San Antonio, TX 78229-4899

Phone

(210) 298-9000

Fax

(210) 298-9001

NPI assigned

Aug 28, 2018

Last updated

Oct 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dudley Iles Klatt II, PHARM.D.NPI 1750856357

Title

VP of Operations

Phone

(210) 298-9000

Specialties & licenses 1

Addresses

Other names 1

• Premier Pharmacy Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dudley Iles Klatt II, PHARM.D.

  • Pharmacist
  • San Antonio, TX
  • NPI 1750856357
  NPD Authorized official
• Sarah Kathryn Clements, PHARMD

  • Pharmacist
  • Boerne, TX
  • NPI 1003120999
  NPD (past)

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1871074740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "BABCOCK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "KLATT",
        "authorized_official_first_name": "DUDLEY",
        "authorized_official_middle_name": "ILES",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "210-298-9000",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "32121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ebenezer O Babalola, M.D.
• Babcock Dental Partners, PLLC (Comfort Dental Babcock)
• Babcock Health & Wellness Clinic
• Babcock Medical Associates, P.a.
• Babcock Modern Dentistry, PC (Babcock Modern Dentistry)
• Babcock Precision Smile PLLC
• Babcock Surgical Center, LLC
• Babcock Wellness & Rejuvenation PLLC (Babcock Health and Wellness Clinic)
• Jacob Babcock
• Stacy Babella, QMHP-CS

• Pharmacy in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.