Active NPI
Mindy Demetra Keys, PHARMD, RPH
- Pharmacist
- San Antonio, TX
National Provider Identifier
1962003020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67868
- Practice address
- 10858 Wurzbach Rd
San Antonio, TX 78230-2434 - Phone
- (210) 424-3644
- NPI assigned
- Nov 5, 2020
- Last updated
- Nov 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 67868 | TX | Primary |
Addresses
Primary practice location
10858 Wurzbach Rd
San Antonio, TX 78230-2434
Mailing address
1003 W Elsmere PL
San Antonio, TX 78201-5239
Phone (512) 947-3103
Other practice location 1
1445 Hanz Dr
New Braunfels, TX 78130-2567
Phone (830) 626-4963 ext. 5341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67868 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
10858 Wurzbach Rd
San Antonio, TX 78230
Phone (210) 424-3644
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604534400000",
"number": "1962003020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 W ELSMERE PL",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782015239",
"telephone_number": "512-947-3103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10858 WURZBACH RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782302434",
"telephone_number": "210-424-3644"
}
],
"practiceLocations": [
{
"address_1": "1445 Hanz Dr",
"address_purpose": "LOCATION",
"city": "New Braunfels",
"state": "TX",
"postal_code": "781302567",
"country_code": "US",
"telephone_number": "830-626-4963 x5341",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEYS",
"first_name": "MINDY",
"middle_name": "DEMETRA",
"credential": "PHARMD, RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-05",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "67868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 5, 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.