Individual provider Active NPI

Antonio Fuller Currie, PHARMD

  • Pharmacist
  • Austin, TX
National Provider Identifier
1174097620
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
69164 Issued in TX
Practice address
2727 Exposition Blvd Ste 105
Austin, TX 78703-1227
Phone
(205) 427-3503
NPI assigned
Jan 17, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 69164 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X S12374 AL

Addresses

Primary practice location

2727 Exposition Blvd Ste 105
Austin, TX 78703-1227

Mailing address

1612 Beirne Ave NE Unit a
Huntsville, AL 35801-2419
Phone (205) 427-3503

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

LicenseStateTypeSpecialty
69164TXMDPharmacist
S12374ALMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1174097620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 BEIRNE AVE NE UNIT A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358012419",
            "telephone_number": "205-427-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 EXPOSITION BLVD STE 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787031227",
            "telephone_number": "205-427-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURRIE",
        "first_name": "ANTONIO",
        "middle_name": "FULLER",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-17",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "69164",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AL",
            "license": "S12374",
            "primary": false
        }
    ],
    "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 Nov 8, 2021; 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.