Provider Demographics
NPI:1386415586
Name:NEXTRX LLC
Entity type:Organization
Organization Name:NEXTRX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP- PHARMACY OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DHIRAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:AJMANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-684-1579
Mailing Address - Street 1:419 CARSON HL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-5500
Mailing Address - Country:US
Mailing Address - Phone:210-684-1579
Mailing Address - Fax:210-684-1581
Practice Address - Street 1:419 CARSON HL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-5500
Practice Address - Country:US
Practice Address - Phone:210-684-1579
Practice Address - Fax:210-684-1581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy