Individual provider Active NPI

Deborah Fernandes, RPH

  • Pharmacist
  • Austin, TX
National Provider Identifier
1093428278
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
32637 Issued in TX
Practice address
4120 Commercial Center Dr Ste 400
Austin, TX 78744-1058
Phone
(512) 646-4007
Fax
(512) 377-1514
NPI assigned
Jan 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 32637 TX Primary

Addresses

Primary practice location

4120 Commercial Center Dr Ste 400
Austin, TX 78744-1058

Mailing address

4120 Commercial Center Dr Ste 400
Austin, TX 78744-1058
Phone (512) 646-4007

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
32637TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Peoples Pharmacy CurrentSince Jan 8, 2023 Accepting new patients

Locations

4120 Commercial Center Dr
Ste 400
Austin, TX 78744
Phone (512) 646-4007

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1093428278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 COMMERCIAL CENTER DR STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787441058",
            "telephone_number": "512-646-4007",
            "fax_number": "512-377-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 COMMERCIAL CENTER DR STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787441058",
            "telephone_number": "512-646-4007",
            "fax_number": "512-377-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDES",
        "first_name": "DEBORAH",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "32637",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 3, 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.