Active NPI
Larry Gene Gruetzmacher, PHARMACIST
- Pharmacist
- San Antonio, TX
National Provider Identifier
1962716860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19917
- Practice address
- 10411 West Ave
San Antonio, TX 78213-1571 - Phone
- (210) 979-6575
- Fax
- (210) 979-6612
- NPI assigned
- Aug 3, 2010
- Sex
- Male
- 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 | 19917 | TX | Primary |
Addresses
Primary practice location
10411 West Ave
San Antonio, TX 78213-1571
Mailing address
10411 West Ave
San Antonio, TX 78213-1571
Phone (210) 979-6575
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19917 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280793600000",
"number": "1962716860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10411 WEST AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782131571",
"telephone_number": "210-979-6575",
"fax_number": "210-979-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10411 WEST AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782131571",
"telephone_number": "210-979-6575",
"fax_number": "210-979-6612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUETZMACHER",
"first_name": "LARRY",
"middle_name": "GENE",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-03",
"last_updated": "2010-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "19917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
- Shawn Grubbs, ARDMS, RVT, RDCS
- Laura M Gruber, IBCLC
- Maha Gruber, M.A.
- Gruenepointe 1 Casa Rio, LLC (The Rio at Mission Trails)
- Gruenepointe 1 River City, LLC (River City Care Center)
- Karla Grullon
- Wendie Iris Grunberg, D.O.
- Gruner Lowe Therapy
- Crystal Dawn Grunewald Dispain
- Dawnelle Nicole Grunewald, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.