Organization Active NPI

A.E. Pharmacy, LLC

Doing business as Amazon Pharmacy #001

  • Community/Retail Pharmacy
  • Austin, TX
National Provider Identifier
1285084467
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
30875 Issued in TX
Legal business name
A.E. PHARMACY, LLC
Doing business as
Amazon Pharmacy #001
Practice address
4500 S Pleasant Valley Road
Suite 201
Austin, TX 78744-2911
Phone
(512) 537-3205
Fax
(512) 677-6267
NPI assigned
Jun 17, 2016
Last updated
Sep 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Tanvi Jayanti Patel
Title
Vice President
Phone
(855) 745-5725

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 30875 TX Primary

Addresses

Primary practice location

4500 S Pleasant Valley Road
Suite 201
Austin, TX 78744-2911

Mailing address

4500 S Pleasant Valley Rd Ste 201
Austin, TX 78744-2911
Phone (855) 745-5725

Other names 1

  • Amazon Pharmacy #001 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210610000605 TX Part B Supplier - Pharmacy 8123428372 Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

220 Industrial Blvd
Ste 100
Austin, TX 78745

4500 S Pleasant Valley Rd
Ste 201
Austin, TX 78744
Phone (512) 537-3205

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": "1466121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1285084467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 S PLEASANT VALLEY RD STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787442911",
            "telephone_number": "855-745-5725",
            "fax_number": "603-935-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S PLEASANT VALLEY ROAD",
            "address_2": "SUITE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787442911",
            "telephone_number": "512-537-3205",
            "fax_number": "512-677-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.E. PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-17",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TANVI",
        "authorized_official_middle_name": "JAYANTI",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "855-745-5725"
    },
    "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": "30875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amazon Pharmacy #001",
            "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 Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.