Organization Active NPI

Heb # 451

  • Pharmacist
  • Austin, TX
National Provider Identifier
1194066936
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
HEB # 451
Practice address
7301 N FM 620
Austin, TX 78726-4539
Phone
(512) 336-7706
Fax
(512) 336-7734
NPI assigned
Mar 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Authorized official

Name
Mr. Larry Robert Boenig, RPH
Title
Staff Pharmacist
Phone
(512) 336-7706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X Primary

Addresses

Primary practice location

7301 N FM 620
Austin, TX 78726-4539

Mailing address

7301 N FM 620
Austin, TX 78726-4539
Phone (512) 336-7706

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1194066936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 N FM 620",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787264539",
            "telephone_number": "512-336-7706",
            "fax_number": "512-336-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 N FM 620",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787264539",
            "telephone_number": "512-336-7706",
            "fax_number": "512-336-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEB # 451",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "BOENIG",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "STAFF PHARMACIST",
        "authorized_official_telephone_number": "512-336-7706",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "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 Mar 4, 2013; 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.