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NPI 1467008524
● Active Type 2 · Organization
Fam Pharm Llc
Pharmacy · San Antonio, TX · NPI 1467008524
·
Enumerated 2019 · 6 years on NPI
Fam Pharm Llc is 1 of 5625 pharmacy organizations in Texas.
NPI age
6 years
Enumerated 2019-08-14
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Miryala
Owner/officer
Last NPPES update
2022-04-01
Source: monthly bulk 2026-05
How this organization compares
Across 5625 active pharmacy providers in Texas.
NPI age
6 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2019 → 2026
2019-08 Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
5107 Medical Dr
San Antonio, TX 78229
📞 2106148615 fax 2106921191
Mailing address
5107 Medical Dr
San Antonio, TX 78229
📞 2106148615 fax 2106921191
Authorized official
Manohar Miryala
Owner/officer
📞 2106148615
Individual providers at this organization
20 individual providers on file at this primary practice address.
Maricruz Arzeta-Francisco , FNP-C
Nurse Practitioner
NPI 1184124604
Robin Butcher , APRN
Nurse Practitioner
NPI 1982330288
Stephen Cavazos , DNP, RN, FNP-BC
Nurse Practitioner
NPI 1609364447
Priscilla Ching , APRN-CNP
Nurse Practitioner
NPI 1487315263
Kalicia Christie
Nurse Practitioner
NPI 1033775572
Tina Copple , APRN
Nurse Practitioner
NPI 1568676500
Douglas Dalke , FNP-BC
Nurse Practitioner
NPI 1104507656
Mark Danney , M.D.
Pediatrics
NPI 1629034657
Linda De Leon , FNP-C
Nurse Practitioner
NPI 1659861193
Danielle Diaz , FNP
Nurse Practitioner
NPI 1043421951
Carlee Dunlap , ANP
Registered Nurse
NPI 1003240813
Stacy Farley , M.S.N., A.P.R.N.
Nurse Practitioner
NPI 1063807501
Delia Garcia , APRN, FNP-C
Nurse Practitioner
NPI 1962139345
Mahendra Ghanta , MD
Internal Medicine
NPI 1861656548
Kimberly Giberga
Nurse Practitioner
NPI 1114250651
Ralph Grinnell , APRN, FNP-BC
Nurse Practitioner
NPI 1457666109
Jorge Guerrero , RD
Dietitian, Registered
NPI 1205139029
Diana Huckaby , FNP
Nurse Practitioner
NPI 1902355977
Jennifer Ibarra , FNP-C
Nurse Practitioner
NPI 1851149900
Phillip Kostroun , REGISTERED DIETITIAN
Dietitian, Registered
NPI 1003924002
Specialties
Pharmacy
Primary
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...
taxonomy 3336C0003X
Identifiers
Type Value Notes
05 (TX)
150147
05 (TX)
15047
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.