Organization Active NPI

Vina Pharmacy Inc

Doing business as Vina Pharmacy

  • Community/Retail Pharmacy
  • Austin, TX
National Provider Identifier
1225173560
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
21937 Issued in TX
Legal business name
VINA PHARMACY INC
Doing business as
Vina Pharmacy
Practice address
11207 N Lamar Blvd Ste a
Austin, TX 78753-3056
Phone
(512) 977-8844
Fax
(512) 977-8846
NPI assigned
Feb 21, 2007
Last updated
Sep 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Authorized official

Name
Debbie Huynh
Title
President
Phone
(512) 977-8844

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 21937 TX Primary

Addresses

Primary practice location

11207 N Lamar Blvd Ste a
Austin, TX 78753-3056

Mailing address

11207 N Lamar Blvd Ste a
Austin, TX 78753-3056
Phone (877) 540-4748

Other identifiers 1

IdentifierTypeStateIssuer
2097769OtherPK

Other names 1

  • VINA PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170807000965 TX Part B Supplier - Pharmacy 0749551927 Practice locations: Austin, TX

National Provider Directory

National Provider Directory
Tax ID family
Vina Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11207 N Lamar Blvd
Ste A
Austin, TX 78753
Phone (512) 649-2195

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1225173560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11207 N LAMAR BLVD STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787533056",
            "telephone_number": "877-540-4748",
            "fax_number": "801-716-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11207 N LAMAR BLVD STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787533056",
            "telephone_number": "512-977-8844",
            "fax_number": "512-977-8846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-977-8844"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "21937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2097769",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VINA PHARMACY",
            "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 Sep 30, 2013; 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.