One Source Pharmacy and Medical Supplies LLC
NPI 1174921803 · Community/Retail Pharmacy · San Antonio, TX
One Source Pharmacy and Medical Supplies LLC is a Community/Retail Pharmacy organization in San Antonio, TX (NPI 1174921803).
Provider details
- NPI number
- 1174921803
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jon Jimenez, Ceo(210) 493-8378
Specialties & taxonomies
Suppliers
- Mail Order Pharmacy3336M0002X
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- One Source Pharmacy and Medical Supplies
Registry dates
- Enumerated
- 2014-12-11
- Last updated
- 2015-06-23
Frequently asked questions
- What is One Source Pharmacy and Medical Supplies LLC's NPI number?
- One Source Pharmacy and Medical Supplies LLC's National Provider Identifier (NPI) is 1174921803, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is One Source Pharmacy and Medical Supplies LLC?
- One Source Pharmacy and Medical Supplies LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is One Source Pharmacy and Medical Supplies LLC located?
- One Source Pharmacy and Medical Supplies LLC's practice location on file with NPPES is 15733 San Pedro Ave, San Antonio, TX 78232-3726.
- What is One Source Pharmacy and Medical Supplies LLC's phone number?
- The practice phone number listed in the NPPES registry for One Source Pharmacy and Medical Supplies LLC is (210) 493-8378.
- Who is the authorized official for One Source Pharmacy and Medical Supplies LLC?
- The authorized official listed on One Source Pharmacy and Medical Supplies LLC's NPPES record is Jon Jimenez, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is One Source Pharmacy and Medical Supplies LLC's NPI active?
- Yes — One Source Pharmacy and Medical Supplies LLC's NPI (1174921803) is active in the NPPES registry as of the last update on 2015-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.