Organization Active NPI

Austin P Horn

Doing business as The Drug Store

  • Community/Retail Pharmacy
  • Kernville, CA
National Provider Identifier
1235224122
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY46309 Issued in CA
Legal business name
AUSTIN P HORN
Doing business as
The Drug Store
Practice address
111 Piute Drive
Kernville, CA 93238-0097
Phone
(760) 376-2216
Fax
(760) 376-3855
NPI assigned
Oct 4, 2006
Last updated
Dec 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Austin Peter Horn, PHARM DNPI 1104271220
Title
Pharmacist in Charge/Owner
Phone
(760) 376-2216

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 PHY46309 CA Primary

Addresses

Primary practice location

111 Piute Drive
Kernville, CA 93238-0097

Mailing address

PO Box 97 US Mail
111 Piute Drive Physical
Kernville, CA 93238-0097
Phone (760) 376-2216

Other identifiers 1

IdentifierTypeStateIssuer
PHA463090MedicaidCA

Other names 1

  • The Drug Store Doing business as

National Provider Directory

National Provider Directory

Locations

111 Piute Dr
Kernville, CA 93238
Phone (760) 376-2216

111 Piute Dr
Kernville, CA 93238
Phone (760) 376-2216

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1235224122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97 US MAIL",
            "address_2": "111 PIUTE DRIVE PHYSICAL",
            "city": "KERNVILLE",
            "state": "CA",
            "postal_code": "932380097",
            "telephone_number": "760-376-2216",
            "fax_number": "760-376-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PIUTE DRIVE",
            "city": "KERNVILLE",
            "state": "CA",
            "postal_code": "932380097",
            "telephone_number": "760-376-2216",
            "fax_number": "760-376-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN P HORN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE/OWNER",
        "authorized_official_telephone_number": "760-376-2216",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA463090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Drug Store",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kernville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.