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ANGELO PHARMACY CORP
NPI 1902498678
Pharmacy - Community/Retail Pharmacy in San Angelo, TX

Active since February 04, 2021
2910 SHERWOOD WAY STE 100, SAN ANGELO, TX 76901(325) 230-7259 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Angelo Pharmacy Corp NPPES

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

ANGELO PHARMACY CORP (NPI 1902498678) is a healthcare organization registered as a community/retail pharmacy in San Angelo, Texas and active in the NPI registry since February 2021. The organization lists Krishna Vukoti, Director, as its authorized official.

NPPES Registry Identity

NPI1902498678
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameANGELO PHARMACY CORP
Location Address2910 SHERWOOD WAY STE 100San Angelo, TX 76901-3516
Mailing Address2910 Sherwood Way Ste 100San Angelo, TX 76901-3516
Phone(325) 230-7259
Organization SubpartNo
Authorized OfficialKrishna VukotiDirector · (240) 527-1949
Enumeration DateFebruary 4, 2021
NPPES CertifiedJanuary 21, 2021
✔ NPI 1902498678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
2910 SHERWOOD WAY STE 100, San Angelo, TX 76901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angelo Pharmacy Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20211026002179Non-DME Part B · PharmacyDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 4

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

DR. KRISHNA VUKOTI BS(PHARM), MTECH PHD
Pharmacist
2910 SHERWOOD WAY STE 100
SAN ANGELO, TX 76901
Tom Green County (325) 400-0456
KALA PHARMACY CORP
Pharmacy (Long Term Care Pharmacy)
2910 SHERWOOD WAY STE 100
SAN ANGELO, TX 76901
Tom Green County (325) 716-4499
ANGELO PHARMACY CORP
Pharmacy (Long Term Care Pharmacy)
2910 SHERWOOD WAY STE 100
SAN ANGELO, TX 76901
Tom Green County (325) 400-0456
KALA PHARMACY CORP
Pharmacy (Community/Retail Pharmacy)
2910 SHERWOOD WAY STE 100
SAN ANGELO, TX 76901
Tom Green County (325) 716-4499

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 Angelo Pharmacy Corp's NPI number?

The NPI number for Angelo Pharmacy Corp is 1902498678. It was assigned to this organization in the NPPES registry on February 4, 2021.

Where is Angelo Pharmacy Corp located?

Angelo Pharmacy Corp is located at 2910 Sherwood Way Ste 100, San Angelo, TX 76901. The listed phone number is (325) 230-7259.

What is Angelo Pharmacy Corp's specialty?

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

Is Angelo Pharmacy Corp enrolled in Medicare?

Yes. Angelo Pharmacy Corp is registered in the Medicare PECOS enrollment system.

When is Angelo Pharmacy Corp's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Pharmacy) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Angelo Pharmacy Corp accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Blue Cross and Blue Shield of Louisiana and BlueCross BlueShield of Tennessee and 2 other insurers list Angelo Pharmacy Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Angelo Pharmacy Corp was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.