Renatus Health LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

31564 Issued in TX

Legal business name

RENATUS HEALTH LLC

Practice address

1600 W 38TH St Ste 408
Austin, TX 78731-6407

Phone

(512) 617-3530

Fax

(844) 965-9846

NPI assigned

Jul 31, 2015

Organization subpart

No

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

Authorized official

Name

Mark Newberry

Title

Managing Member

Phone

(512) 617-3530

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Tarrytown Specialty Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1285010215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W 38TH ST STE 408",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316407",
            "telephone_number": "512-617-3530",
            "fax_number": "512-617-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W 38TH ST STE 408",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316407",
            "telephone_number": "512-617-3530",
            "fax_number": "844-965-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENATUS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "NEWBERRY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "512-617-3530"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "31564",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31564",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "TX",
            "license": "31564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153410",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tarrytown Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tarrytown Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Han Ren, PH.D.
• Renaissance Women'S Group PA
• Renal Treatment Centers - Southeast, LP
• Renal Treatment Centers-Southeast, LP.
• Mari Renaldo, RD
• Alicia Kay Renck, MD
• Mariana Rendon Flores, MS, RD, LD
• Ana Carolina Rendon
• Kimberley Yameth Rendon
• Pilar Rendon, RD

• Specialty Pharmacy in Austin, TX
• Providers in Austin, TX by specialty
• Specialty Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.