Active NPI
Ellie Studdard, PHARM D
- Pharmacist
- Austin, TX
National Provider Identifier
1093348930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60742
- Practice address
- 2727 Exposition Blvd
Austin, TX 78703-1228 - Phone
- (512) 478-6419
- NPI assigned
- Feb 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 60742 | TX | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 60742 | TX | |
| Pharmacotherapy Pharmacist | 1835P1200X | 60742 | TX | |
| Ambulatory Care Pharmacist | 1835P2201X | 60742 | TX | |
| Pharmacist | 183500000X | 60742 | TX | Primary |
Addresses
Primary practice location
2727 Exposition Blvd
Austin, TX 78703-1228
Mailing address
2727 Exposition Blvd Ste 105
Austin, TX 78703-1227
Phone (512) 478-6419
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60742 | Other | TX | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60742 | TX | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1093348930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 EXPOSITION BLVD STE 105",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787031227",
"telephone_number": "512-478-6419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 EXPOSITION BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787031228",
"telephone_number": "512-478-6419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUDDARD",
"first_name": "ELLIE",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-19",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "TX",
"license": "60742",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "TX",
"license": "60742",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "TX",
"license": "60742",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "TX",
"license": "60742",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "TX",
"license": "60742",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "60742",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}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 Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.