Provider Demographics
NPI:1114963287
Name:RX MANAGEMENT CONSULTANTS
Entity type:Organization
Organization Name:RX MANAGEMENT CONSULTANTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:WADE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:512-392-6777
Mailing Address - Street 1:1305 WONDER WORLD DR
Mailing Address - Street 2:STE 102
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-7546
Mailing Address - Country:US
Mailing Address - Phone:512-392-6777
Mailing Address - Fax:512-392-6779
Practice Address - Street 1:1305 WONDER WORLD DR
Practice Address - Street 2:STE 102
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-7546
Practice Address - Country:US
Practice Address - Phone:512-392-6777
Practice Address - Fax:512-392-6779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14410183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4584303OtherNABP
TX143698Medicaid