Individual provider Active NPI

Eugene Frank Patalik Jr., RPH

  • Pharmacist
  • Austin, TX
National Provider Identifier
1194169151
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
22208 Issued in TX
Practice address
6929 Airport Blvd Suite 176
Austin, TX 78752-6929
Phone
(512) 577-0220
Fax
(512) 421-1005
NPI assigned
Apr 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 22208 TX Primary

Addresses

Primary practice location

6929 Airport Blvd Suite 176
Austin, TX 78752-6929

Mailing address

6929 Airport Blvd
Austin, TX 78752-3629
Phone (512) 421-1000

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
22208TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1194169151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6929 AIRPORT BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523629",
            "telephone_number": "512-421-1000",
            "fax_number": "512-421-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6929 AIRPORT BLVD SUITE 176",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787526929",
            "telephone_number": "512-577-0220",
            "fax_number": "512-421-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATALIK",
        "first_name": "EUGENE",
        "middle_name": "FRANK",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "22208",
            "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 Apr 22, 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.