Austin Sewell

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

PD15889 Issued in AR

Practice address

3710 N State Line Ave
Texarkana, AR 71854-1934

Phone

(870) 773-5521

NPI assigned

Jan 31, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Albertsons LLC

  • Community/Retail Pharmacy
  • Texarkana, AR
  • NPI 1013956499
  NPD (past)
• Albertsons LLC

  • Community/Retail Pharmacy
  • Ardmore, OK
  • NPI 1134958457
  NPD (past)

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1114670189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LAMBETH CIR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032556",
            "telephone_number": "903-556-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 N STATE LINE AVE",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541934",
            "telephone_number": "870-773-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "AUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "AR",
            "license": "PD15889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "PD15889",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberto Seidner, MD
• Seniors for Senior Care
• Karine Sensiba, MD
• Serenity Hospice
• Serenity Pathways to Independence, Inc.
• Shelby A Sewell, RNFA
• Scott Anthony Seymore, MHPP
• Alcanio Shanks
• Michael Allen Shaw, MD
• Marie T Shelton

• Ambulatory Care Pharmacist in Texarkana, AR
• Providers in Texarkana, AR by specialty
• Ambulatory Care Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.