Active NPI
Medicine Shoppe
- Community/Retail Pharmacy
- Austin, TX
National Provider Identifier
1083740492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MEDICINE SHOPPE
- Practice address
- 1508 W 35TH St
Austin, TX 78703-1437 - Phone
- (512) 454-2653
- Fax
- (512) 454-1035
- NPI assigned
- Feb 27, 2007
- 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
- Sharon Moore, RPH
- Title
- Pharmacist Owner
- Phone
- (512) 454-2653
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 17520 | TX | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1508 W 35TH St
Austin, TX 78703-1437
Mailing address
1508 W 35TH St
Austin, TX 78703-1437
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144593 | Medicaid | TX | |
| 4579908 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
National Provider Directory
National Provider DirectoryLocations
1508 W 35th St
Austin, TX 78703
Phone (512) 454-2653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1083740492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 W 35TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787031437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 W 35TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787031437",
"telephone_number": "512-454-2653",
"fax_number": "512-454-1035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICINE SHOPPE",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "SHARON",
"authorized_official_title_or_position": "PHARMACIST OWNER",
"authorized_official_telephone_number": "512-454-2653",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "TX",
"license": "17520",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144593",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "4579908",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- Medical Practice Management-LLC
- Medical Staffing Network, Inc (Nurses Plus)
- Medical Vascular Partners, PLLC
- Medici Medical Group PA
- Medicine in Motion, Martha Pyron MD (Medicine In Motion)
- Medicus Partners LLC (Austin Midtown Ambulatory Surgery Center)
- Medilink Health Services LLC
- Medilinx
- Medimove Logistics LLC
- Sandra Medina Bocangel, L.AC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.