Active NPI
Spcsa PLLC
- Community/Retail Pharmacy
- Live Oak, TX
National Provider Identifier
1962710087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 27157
- Legal business name
- SPCSA PLLC
- Practice address
- 12602 Toepperwein Rd Ste 118
Live Oak, TX 78233-3270 - Phone
- (210) 448-9080
- Fax
- (210) 764-1038
- NPI assigned
- Sep 23, 2010
- Reactivated
- Mar 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christina Marie Baker Hickerson, PHARMACIST
- Title
- Pharmacy Director
- Phone
- (210) 448-9080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 27157 | TX | Primary |
Addresses
Primary practice location
12602 Toepperwein Rd Ste 118
Live Oak, TX 78233-3270
Mailing address
12602 Toepperwein Rd Ste 118
Live Oak, TX 78233-3270
Phone (210) 448-9080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146270 | Medicaid | TX |
Other names 2
- SHAVANO OAKS PHARMACY
- Dennis Karasek MD PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210331000650 | TX | Part B Supplier - Pharmacy | 6507862638 |
1 other NPI on this enrollment Practice locations: Live Oak, TX; San Antonio, TX |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Spcsa PLLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- San Antonio, TX
- NPI 1235550815
-
- Durable Medical Equipment & Medical Supplies
- Live Oak, TX
- NPI 1508143777
-
- Durable Medical Equipment & Medical Supplies
- San Antonio, TX
- NPI 1578830543
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- San Antonio, TX
- NPI 1255309084
-
- Certified Registered Nurse Anesthetist
- San Antonio, TX
- NPI 1205826096
-
- Certified Registered Nurse Anesthetist
- Houston, TX
- NPI 1689665432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756080000000",
"number": "1962710087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12602 TOEPPERWEIN RD STE 118",
"city": "LIVE OAK",
"state": "TX",
"postal_code": "782333270",
"telephone_number": "210-448-9080",
"fax_number": "210-764-1038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12602 TOEPPERWEIN RD STE 118",
"city": "LIVE OAK",
"state": "TX",
"postal_code": "782333270",
"telephone_number": "210-448-9080",
"fax_number": "210-764-1038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPCSA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-23",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"deactivation_date": "2023-03-14",
"reactivation_date": "2023-03-27",
"status": "A",
"authorized_official_last_name": "BAKER HICKERSON",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PHARMACY DIRECTOR",
"authorized_official_telephone_number": "210-448-9080",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "27157",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146270",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SHAVANO OAKS PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SHAVANO OAKS PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Dennis Karasek MD PLLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Live Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.