MEDICARE: KIMBERLY ANN BYRD CAUTHON PHARMD

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	183500000X	Pharmacist	51899	TX

General Provider Information

NPI Number	:	1558574921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY ANN BYRD CAUTHON PHARMD

Provider Business Mailing Address
First Line	:	4301 BROADWAY # 99
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-6318
Country	:	US
Telephone Number	:	210-883-1132
Fax Number	:

Provider Business Practice Location Address
First Line	:	4301 BROADWAY # 99
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-6318
Country	:	US
Telephone Number	:	210-883-1132
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	01/02/2026

Similar Medicare Providers

1205891074 — MS. KATHERINE ELISE TAYLOR PEARSON RN
Practice Location Address:

4301 BROADWAY ST # CPO300
SAN ANTONIO, TX
78209-6318

Practice Phone: 210-787-6943
Practice Fax:

1346206026 — BERNARD JOSEPH LOUGH ATC, LAT
Practice Location Address:

4301 BROADWAY ST
SAN ANTONIO, TX
78209-6318

Practice Phone: 210-829-3834
Practice Fax: 210-841-7324

1699784058 — ELIZABETH MONTFORT URTEAGA PHARMD
Practice Location Address:

4301 BROADWAY ST # 99
SAN ANTONIO, TX
78209-6318

Practice Phone: 210-883-1075
Practice Fax:

1023159555 — MARK C. GRANBERRY PHARM.D.
Practice Location Address:

4301 BROADWAY ST , CPO99
SAN ANTONIO, TX
78209-6318

Practice Phone: 210-805-3025
Practice Fax:

1427278704 — DR. JEFFREY THOMAS COPELAND PHARM.D., R.PH.
Practice Location Address:

4301 BROADWAY ST , UNIVERSITY OF THE INCARNATE WORD
SAN ANTONIO, TX
78209-6318

Practice Phone: 210-805-3034
Practice Fax:

1023226644 — DR. JOHN MARK TOVAR PHARM.D.
Practice Location Address:

4301 BROADWAY ST
SAN ANTONIO, TX
78209-6318

Practice Phone: 210-832-2117
Practice Fax:

Directions to “ KIMBERLY ANN BYRD CAUTHON PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.