Organization Active NPI

15RX LLC

Doing business as 15RX Pharmacy

  • Pharmacy
  • San Antonio, TX
National Provider Identifier
1902181829
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
27839 Issued in TX
Legal business name
15RX LLC
Doing business as
15RX Pharmacy
Practice address
11212 State Highway 151 Ste 110
Plaza-2
San Antonio, TX 78251-4500
Phone
(210) 543-1579
Fax
(210) 543-1581
NPI assigned
Oct 12, 2011
Last updated
Dec 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Authorized official

Name
Dhiraj AjmaniNPI 1770836371
Title
Pharmacist-in-Charge
Phone
(210) 684-1579

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 27839 TX Primary
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

11212 State Highway 151 Ste 110
Plaza-2
San Antonio, TX 78251-4500

Mailing address

419 Carson HL BLDG 1
San Antonio, TX 78251-5500
Phone (210) 684-1579

Other identifiers 1

IdentifierTypeStateIssuer
2132135OtherPK

Other names 1

  • 15RX Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
15RX LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10415 State Highway 151
Ste 105
San Antonio, TX 78251
Phone (210) 684-1579

11212 State Highway 151
Ste 110
San Antonio, TX 78251
Phone (210) 543-1579

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1902181829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 CARSON HL BLDG 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782515500",
            "telephone_number": "210-684-1579",
            "fax_number": "210-684-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 STATE HIGHWAY 151 STE 110",
            "address_2": "PLAZA-2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514500",
            "telephone_number": "210-543-1579",
            "fax_number": "210-543-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "15RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "AJMANI",
        "authorized_official_first_name": "DHIRAJ",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "210-684-1579"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "27839",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132135",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "15RX Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "15RX 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 Dec 12, 2019; 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.