GALLISSARA AGAVATPANITCH R.PH. – NPI #1689165342
Pharmacist

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

GALLISSARA AGAVATPANITCH is a pharmacist located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1689165342 to GALLISSARA AGAVATPANITCH on May 29, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 183500000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist.

The NPI profile was last updated on Apr 16, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GALLISSARA AGAVATPANITCH below.

NPI Profile for
GALLISSARA AGAVATPANITCH

NPI Number
1689165342
Enumeration Date

(more than 8 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
GALLISSARA AGAVATPANITCH
Credentials
R.PH.
Primary location
7400 MERTON MINTER ST
SAN ANTONIO, TX 78229-4404
Phone: (210) 617-5300 Fax:
Mailing address
76 VETERANS AVE
BATH, NY 14810-0810
Phone: (607) 664-4415 Fax:
Sole Proprietor
No
Updated
Certification Date
Apr 16, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GALLISSARA AGAVATPANITCH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherTEXAS STATE BOARD OF PHARMACYTX60954
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
183500000X
- Pharmacist (Primary)
TX 60954

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.