SLG PHARMACY LLC (NPI# 1578838058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578838058 |
| Entity Type | Organization |
| Organization Name | SLG PHARMACY LLC |
| Other Organization Name | LAUREL HEIGHTS PHARMACY |
| Practice Address |
2602 N Main Ave San Antonio TX 78212-2919 |
| Practice Telephone | 2107363161 |
| Mailing Telephone | 2107363161 |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-21 |
| Authorized Official Name | ANNAPURNA MADDALI (OFFICER) |
| Authorized Official Telephone | 9177698014 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
1935 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5905356 | 01 |
| Other Name | Type Code |
|---|---|
| Laurel Heights Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295888949 | Slg Pharmacy LLC | Pharmacy | 2602 N Main Ave, San Antonio, TX 78212 | 2007-01-18 |
| 1710454186 | Slg Pharmacy LLC | Pharmacy | 2602 N Main Ave, San Antonio, TX 78212-2919 | 2018-10-24 |
| Street Address |
2602 N MAIN AVE |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78212-2919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295888949 | Slg Pharmacy LLC | Pharmacy | 2602 N Main Ave, San Antonio, TX 78212 | 2007-01-18 |
| 1710454186 | Slg Pharmacy LLC | Pharmacy | 2602 N Main Ave, San Antonio, TX 78212-2919 | 2018-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902451701 | Ninfa Hernandez Guzman | Assisted Living Facility | 325 E Locust St., San Antonio, TX 78212 | 2019-08-08 |
| 1366924730 | David Edward Dupuy | Occupational Therapist | 307 West Cypress, San Antonio, TX 78212 | 2018-09-03 |
| 1184100836 | Magenta Health, Inc. | Clinic/Center | 1222 North Main, Suite 115, San Antonio, TX 78212 | 2018-07-16 |
| 1497275762 | Dms Pharmacy, LLC | Pharmacy | 305 East Euclid, Suite 104, San Antonio, TX 78212 | 2017-06-27 |
| 1245693290 | Rebecca Lynn Sherman | Physical Therapist | 40 Ne Interstate 410 Loop, San Antonio, TX 78212 | 2016-03-29 |
| 1669886032 | Felise De Novo, PC | Counselor | 2400 Mccullough Ave., #12851, San Antonio, TX 78212 | 2014-06-13 |
| 1699102699 | Prem S. Kalidindi | Pharmacist | 2608 N. Main, Ste 1, San Antonio, TX 78212 | 2013-10-04 |
| 1073860052 | Sarah Nicole Percy Tovar | Dentist | 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 | 2012-08-09 |
| 1205181674 | Michael Jose Cavazos | Internal Medicine | 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 | 2012-07-20 |
| 1730458381 | Neuriom, Pllc | Electrodiagnostic Medicine | 4007 Mccullough Ave, #243, San Antonio, TX 78212 | 2011-12-27 |
| Find all providers in zip 78212 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750900015 | Thousand Oaks Healthcare LLC | Pharmacy | 426 Castroville Rd Ste 5, San Antonio, TX 78207-5169 | 2020-04-15 |
| 1023575057 | Alamo Gs LLC | Pharmacy | 3320 Oakwell Ct Ste 103, San Antonio, TX 78218-3129 | 2019-02-26 |
| 1154578771 | Bgs Pharmacy Partners Inc | Pharmacy | 12311 Wetmore Rd, San Antonio, TX 78247-3635 | 2008-08-26 |
| 1265560528 | Jefferson Pharmacy Inc | Pharmacy | 917 Manor Dr, San Antonio, TX 78228-3227 | 2007-03-01 |
| 1194877449 | Fidel G Huerta Jr Inc | Pharmacy | 818 Brooklyn Ave Ste 2, Ste 2, San Antonio, TX 78215-1607 | 2007-01-17 |
| 1760582068 | Providerx of San Antonio, LLC | Pharmacy | 11335 West Ave, San Antonio, TX 78213-1341 | 2006-09-25 |
| 1063524973 | William Ward Wynn | Pharmacy | 5824 Babcock Rd, San Antonio, TX 78240-2134 | 2006-08-31 |
| 1174559694 | Neighborcare Pharmacy Services, Inc. | Pharmacy | 12460 Network Blvd, Suite 101, San Antonio, TX 78249-3365 | 2006-06-25 |
| 1447850359 | Farmacia Associates of San Antonio Inc. | Pharmacy | 919 Sw Military Dr Ste 105, San Antonio, TX 78221-1580 | 2020-10-29 |
| 1053927780 | Ortiz Pharmacy Inc | Pharmacy | 2515 Castroville Rd, San Antonio, TX 78237-3359 | 2020-09-17 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78212 |
Please comment or provide details below to improve the information on SLG PHARMACY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.