Nathan Pope, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

40777 Issued in TX

Practice address

1611 W 5TH St
Ste 160
Austin, TX 78703-4874

Phone

(512) 965-8393

Fax

(512) 672-6151

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Live Oak Pharmacy LLC

  • Community/Retail Pharmacy
  • Austin, TX
  • NPI 1407172901
  NPD (past) Authorized official

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1245390152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 S LAMAR BLVD",
            "address_2": "STE D109-156",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787048864",
            "telephone_number": "512-965-8393",
            "fax_number": "512-672-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 W 5TH ST",
            "address_2": "STE 160",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034874",
            "telephone_number": "512-965-8393",
            "fax_number": "512-672-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "40777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "40777",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanna C. Poole, MS
• Stephanie Poonawala, APRN
• Samar Poorlakani, LPC
• Bonnie Leigh Pope, APRN
• Jerilyn Pope, LPC
• Paul Allen Pope
• Shelby Kristin Pope, CRNA
• Jared Poplin, DMD
• Melissa Marie Poppenhusen, OD
• Poppy Behavior Consulting LLC

• Pharmacist in Austin, TX
• Providers in Austin, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.