Active NPI
Volunteer Healthcare Clinic
- Community/Retail Pharmacy
- Austin, TX
National Provider Identifier
1003216607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 11859
- Legal business name
- VOLUNTEER HEALTHCARE CLINIC
- Practice address
- 4215 Medical Pkwy
Austin, TX 78756-3309 - Phone
- (512) 459-6002
- NPI assigned
- Sep 2, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Curtis Burch
- Title
- Pharmacist in Charge
- Phone
- (512) 869-1774
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 11859 | TX | Primary |
Addresses
Primary practice location
4215 Medical Pkwy
Austin, TX 78756-3309
Mailing address
4215 Medical Pkwy
Austin, TX 78756-3309
Phone (512) 459-6002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2147622 | Other | PK |
Other names 1
- Volunteer Healthcare Clinic
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0712066 | Volunteer Healthcare Clinic Lab | Certificate of waiver | Jun 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
4215 Medical Pkwy
Austin, TX 78756
Phone (512) 459-6002
Interoperability endpoints
- https://api.platform.athenahealth.com/12704/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Austin, TX
- NPI 1306246731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409616000000",
"number": "1003216607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4215 MEDICAL PKWY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787563309",
"telephone_number": "512-459-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4215 MEDICAL PKWY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787563309",
"telephone_number": "512-459-6002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VOLUNTEER HEALTHCARE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-02",
"last_updated": "2014-09-02",
"status": "A",
"authorized_official_last_name": "BURCH",
"authorized_official_first_name": "CURTIS",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "512-869-1774"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "11859",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2147622",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Volunteer Healthcare Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.