MEDICARE: ONLY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	22951	TX
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4531706	OTHER	TX	NCPDP #

General Provider Information

NPI Number	:	1669546214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONLY INC

Provider Business Mailing Address
First Line	:	2004 E HOUSTON ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78202-2934
Country	:	US
Telephone Number	:	210-224-7676
Fax Number	:	210-224-6131

Provider Business Practice Location Address
First Line	:	2004 E HOUSTON ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78202-2934
Country	:	US
Telephone Number	:	210-224-7676
Fax Number	:	210-224-6131

Authorized Official
Title or Position	:	PHARMACY MANAGER
Name	:	NNATE O LEKWA
Credential	:	RPH
Telephone Number	:	210-224-7676

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	03/07/2023

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Directions to “ONLY INC ” Practice Location

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