Dr. Jacob Corey Tondre, PharmD
Pharmacist in San Antonio, TX. Individual provider (NPI-1).
NPI number1104749100
StatusActive
Last updated in NPPESAug 4, 2026
Details
- NPI
- 1104749100
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jacob Corey Tondre
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2026
- Certification date
- Aug 4, 2026
- Last updated
- Aug 4, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 77436 | TX | Yes |
Practice location
4502 Medical DrSan Antonio, TX 78229-4402
Phone 210-667-6253
Mailing address
4502 Medical DrSan Antonio, TX 78229-4402
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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