NPIMap

Organization Active NPI

Central Texas Community Health Centers

Doing business as CommunityCare Central Pharmacy

  • Community/Retail Pharmacy
  • Austin, TX
National Provider Identifier
1255598876
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
26469 Issued in TX
Legal business name
CENTRAL TEXAS COMMUNITY HEALTH CENTERS
Doing business as
CommunityCare Central Pharmacy
Practice address
2901 Montopolis Dr
Austin, TX 78741-6411
Phone
(512) 978-9011
Fax
(512) 901-9749
NPI assigned
May 21, 2008
Last updated
Feb 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Carolyn Konecny, PHARMD
Title
Interim Ceo/President & Cfo
Phone
(512) 978-9038

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 26469 TX Primary

Addresses

Primary practice location

2901 Montopolis Dr
Austin, TX 78741-6411

Mailing address

PO Box 17366
Austin, TX 78760-7366
Phone (512) 978-9009

Other identifiers 1

IdentifierTypeStateIssuer
2117603OtherPK

Other names 1

  • CommunityCare Central Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Central Texas Community14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1255598876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17366",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787607366",
            "telephone_number": "512-978-9009",
            "fax_number": "512-901-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 MONTOPOLIS DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787416411",
            "telephone_number": "512-978-9011",
            "fax_number": "512-901-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "KONECNY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "INTERIM CEO/PRESIDENT & CFO",
        "authorized_official_telephone_number": "512-978-9038",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117603",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CommunityCare Central 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 Feb 22, 2017; 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.