Tarrytown Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TARRYTOWN PHARMACY

Practice address

3111 W 35TH St
Austin, TX 78703-1109

Phone

(512) 478-6419

NPI assigned

Oct 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark David Newberry, PHARMD

Title

President

Phone

(512) 478-6419

Specialties & licenses 1

Addresses

Tax ID family

Tarrytown 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.

• Tarrytown Pharmacy

  • Primary Care Clinic/Center
  • Austin, TX
  • NPI 1972133544
  NPD tax ID
• Tarrytown Pharmacy LLC

  • Long Term Care Pharmacy
  • Austin, TX
  • NPI 1598497166
  NPD tax ID

Locations

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1265620587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 EXPOSITION BLVD STE D",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787032262",
            "telephone_number": "512-478-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 W 35TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787031109",
            "telephone_number": "512-478-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARRYTOWN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "NEWBERRY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-478-6419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Target99 LLC
• Roberta Targino, LPC-TX, LMHC-FL
• Kimberly Tarla, CPNP-PC
• Natalie Blanche Tarrant, M.D.
• Tarrytown Expocare, LLC
• Tarrytown Pharmacy
• Tarrytown Pharmacy LLC
• Tarrytown Pharmacy LLC
• Alexander Tartakovsky, LMT
• Jessica Tartaro, PHD

• Community/Retail Pharmacy in Austin, TX
• Providers in Austin, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.