A.E. Pharmacy, LLC
Organization Active NPI Community/Retail Pharmacy · Austin, TX
NPI 1285084467 · NPPES record last updated Sep 8, 2025
Key facts
- NPI
- 1285084467
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 30875 (TX)
- Legal business name
- A.E. PHARMACY, LLC
- 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
- Organization subpart
- No
Authorized official
- Name
- Tanvi Jayanti Patel
- Title
- Vice President
- Phone
- (855) 745-5725
Member of 1
Practitioners 1
-
Jessica Steinmetz, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210610000605 | TX | Part B Supplier - Pharmacy | 8123428372 | Practice locations: Austin, TX |
National Provider Directory
Locations
4500 S Pleasant Valley Rd
Ste 201
Austin, TX 78744
Phone (512) 537-3205
220 Industrial Blvd
Ste 100
Austin, TX 78745
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 30875 | TX | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2160596 | Other | PK | |
| 78438217 | Medicaid | NM | |
| 149572 | Medicaid | TX |
Other names
- Amazon Pharmacy #001
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All providers in Austin, TX · Community/Retail Pharmacy in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.