NPIMap

Organization Active NPI

Oakdell Pharmacy LLC

  • Community/Retail Pharmacy
  • San Antonio, TX
National Provider Identifier
1912059262
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
25247 Issued in TX
Legal business name
OAKDELL PHARMACY LLC
Doing business as
OAKDELL PHARMACY AT THE QUARRY
Practice address
423 Treeline Park
Ste 201
San Antonio, TX 78209-2060
Phone
(210) 822-6330
Fax
(210) 614-3848
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Authorized official

Name
James Wolff
Title
Cfo
Phone
(210) 614-1005

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 25247 TX Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

423 Treeline Park
Ste 201
San Antonio, TX 78209-2060

Mailing address

7220 Louis Pasteur Dr
Ste 176
San Antonio, TX 78229-4537
Phone (210) 822-6330

Other identifiers 2

IdentifierTypeStateIssuer
2099933OtherPK
145762MedicaidTX

Other names 1

  • OAKDELL PHARMACY AT THE QUARRY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medplus Long Term Care Pharmacy3 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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1912059262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 LOUIS PASTEUR DR",
            "address_2": "STE 176",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294537",
            "telephone_number": "210-822-6330",
            "fax_number": "210-614-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 TREELINE PARK",
            "address_2": "STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092060",
            "telephone_number": "210-822-6330",
            "fax_number": "210-614-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKDELL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "210-614-1005"
    },
    "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": "25247",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2099933",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145762",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OAKDELL PHARMACY AT THE QUARRY",
            "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 Sep 26, 2016; 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.