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One Source Pharmacy and Medical Supplies LLC

Community/Retail Pharmacy in San Antonio, TX · enumerated 2014 · authorized official Jon Jimenez, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174921803

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Registry record

Entity type Organization (Type 2)
Legal business name One Source Pharmacy and Medical Supplies LLC
Other name <Unavail>
Practice address 15733 San Pedro Ave, San Antonio, TX, 78232
Phone (210) 493-8378
Fax (210) 408-0722
Enumeration date Dec 11, 2014
Last updated in NPPES Jun 23, 2015

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 29690 (TX) Primary
3336L0003X Long Term Care Pharmacy Suppliers Secondary
3336M0002X Mail Order Pharmacy Suppliers Secondary

Authorized official

Name Jon Jimenez
Title Ceo
Phone (210) 493-8378

Other identifiers

Identifier Type State Issuer
2149294 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-06-23. Verify at npiregistry.cms.hhs.gov.
Where is One Source Pharmacy and Medical Supplies LLC located?
The practice location on file with NPPES is in San Antonio, TX.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-06-23.