Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

One Source Pharmacy and Medical Supplies LLC

Organization Pharmacy · NPI 1174921803

One Source Pharmacy and Medical Supplies LLC is a Pharmacy in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2014.

Licensed in
TX
In the registry since
2014
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15733 San Pedro Ave
San Antonio, TX 78232-3726
Phone: (210) 493-8378
Fax: (210) 408-0722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 29690 (TX)
Pharmacy Taxonomy 333600000X
Long Term Care Pharmacy Taxonomy 3336L0003X
Mail Order Pharmacy Taxonomy 3336M0002X

Record details

NPI number1174921803
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Jimenez — Ceo · (210) 493-8378
Other names One Source Pharmacy And Medical Supplies
NPI enumeratedDecember 11, 2014
Last updated in NPPESJune 23, 2015
Mailing address15733 San Pedro Ave, San Antonio, TX 78232-3726

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