Organization Active NPI

Victory Medical Center Pharmacy

  • Community/Retail Pharmacy
  • Austin, TX
National Provider Identifier
1073236139
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
VICTORY MEDICAL CENTER PHARMACY
Doing business as
Victory Medical Center Pharmacy
Practice address
4303 Victory Dr
Austin, TX 78704-7507
Phone
(512) 279-0985
Fax
(512) 279-0471
NPI assigned
Sep 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sharon Holle
Title
Cfo
Phone
(512) 462-3627

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

4303 Victory Dr
Austin, TX 78704-7507

Mailing address

4303 Victory Dr
Austin, TX 78704-7507
Phone (512) 279-0985

Other names 1

  • Victory Medical Center Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1073236139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 VICTORY DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047507",
            "telephone_number": "512-279-0985",
            "fax_number": "512-279-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 VICTORY DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047507",
            "telephone_number": "512-279-0985",
            "fax_number": "512-279-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY MEDICAL CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "HOLLE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "512-462-3627"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victory Medical Center Pharmacy",
            "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 Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.