Organization Active NPI

East Austin Medicine Shop

  • Community/Retail Pharmacy
  • Austin, TX
National Provider Identifier
1154790376
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
30135 Issued in TX
Legal business name
EAST AUSTIN MEDICINE SHOP
Practice address
1909 E 38TH 1/2 St Ste C2
Austin, TX 78723-5749
Phone
(512) 643-0999
Fax
(512) 643-4074
NPI assigned
Sep 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Authorized official

Name
Christopher John Perling, RPHNPI 1326487398
Title
Pic
Phone
(512) 643-0999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 30135 TX Primary

Addresses

Primary practice location

1909 E 38TH 1/2 St Ste C2
Austin, TX 78723-5749

Mailing address

1909 E 38TH 1/2 St Ste C2
Austin, TX 78723-5749
Phone (512) 643-0999

Other names 1

  • East Austin Medicine Shop Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211027001139 TX Part B Supplier - Pharmacy 7618365461 Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

2115 E Mlk Blvd
Austin, TX 78702

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1154790376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 E 38TH 1/2 ST STE C2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787235749",
            "telephone_number": "512-643-0999",
            "fax_number": "512-643-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 E 38TH 1/2 ST STE C2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787235749",
            "telephone_number": "512-643-0999",
            "fax_number": "512-643-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST AUSTIN MEDICINE SHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "PERLING",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "512-643-0999",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Austin Medicine Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.