ONE SOURCE PHARMACY AND MEDICAL SUPPLIES
NPI 1174921803
Pharmacy - Community/Retail Pharmacy in San Antonio, TX

Active since December 11, 2014
15733 SAN PEDRO AVE, SAN ANTONIO, TX 78232(210) 493-8378(210) 408-0722 Get Directions Write a Review

NPPES record last updated: June 23, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About One Source Pharmacy And Medical Supplies NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ONE SOURCE PHARMACY AND MEDICAL SUPPLIES (NPI 1174921803) is a healthcare organization registered as a community/retail pharmacy in San Antonio, Texas and active in the NPI registry since December 2014. The organization lists Jon Jimenez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174921803
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameONE SOURCE PHARMACY AND MEDICAL SUPPLIES LLC
Location Address15733 SAN PEDRO AVESan Antonio, TX 78232-3726
Mailing Address15733 San Pedro AveSan Antonio, TX 78232-3726 · (210) 493-8378 · Fax (210) 408-0722
Fax(210) 408-0722
Organization SubpartNo
Authorized OfficialJon JimenezCeo · (210) 493-8378
Enumeration DateDecember 11, 2014
Last NPPES UpdateJune 23, 2015
NPI 1174921803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in TX · 29690
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X
15733 SAN PEDRO AVE, San Antonio, TX 78232

Other Names 1

Doing Business AsOne Source Pharmacy And Medical Supplies

Other Identifiers 1

Other2149294Pk

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Health Educator
15733 SAN PEDRO AVE
SAN ANTONIO, TX 78232

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is One Source Pharmacy And Medical Supplies LLC's NPI number?

The NPI number for One Source Pharmacy And Medical Supplies LLC is 1174921803. It was assigned to this organization in the NPPES registry on December 11, 2014. The provider is doing business as One Source Pharmacy And Medical Supplies.

Where is One Source Pharmacy And Medical Supplies LLC located?

One Source Pharmacy And Medical Supplies LLC is located at 15733 San Pedro Ave, San Antonio, TX 78232. The listed phone number is (210) 493-8378.

What is One Source Pharmacy And Medical Supplies LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for One Source Pharmacy And Medical Supplies LLC was last updated on June 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.