Active NPI
Spencer William Coffee
- Pharmacist
- Austin, TX
National Provider Identifier
1104651033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 74691
- Practice address
- 210 W 7TH St Ste B
Austin, TX 78701-2903 - Phone
- (512) 893-5000
- Fax
- (512) 229-0795
- NPI assigned
- Sep 2, 2024
- Last updated
- Sep 2, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 74691 | TX | Primary |
Addresses
Primary practice location
210 W 7TH St Ste B
Austin, TX 78701-2903
Mailing address
320 S Madison Ave
La Grange, IL 60525-6304
Phone (708) 354-4441
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capsule Austin LLC | Current | Accepting new patients |
Locations
210 W 7th St
Ste B
Austin, TX 78701
Phone (512) 893-5000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725235200000",
"number": "1104651033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 S MADISON AVE",
"city": "LA GRANGE",
"state": "IL",
"postal_code": "605256304",
"telephone_number": "708-354-4441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W 7TH ST STE B",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787012903",
"telephone_number": "512-893-5000",
"fax_number": "512-229-0795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFEE",
"first_name": "SPENCER",
"middle_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-02",
"last_updated": "2024-09-02",
"certification_date": "2024-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "74691",
"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 Sep 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.