Coffee RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31891 Issued in TX

Legal business name

COFFEE RX LLC

Doing business as

Industria Coffee & Pharmacy

Practice address

106 S Mays St Ste 100
Round Rock, TX 78664

Phone

(512) 238-1146

Fax

(512) 238-1148

NPI assigned

Mar 26, 2018

Last updated

Aug 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Van CowanNPI 1376821256

Title

Pharmacist in Charge/Ao

Phone

(512) 466-2966

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Industria Coffee & Pharmacy Doing business as

Locations

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.

• Van Christopher Cowan, PHARM D

  • Pharmacist
  • Austin, TX
  • NPI 1376821256
  NPD (past) Authorized official

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1285139030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S MAYS ST STE 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645850",
            "telephone_number": "512-238-1146",
            "fax_number": "512-238-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S MAYS ST STE 100",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78664",
            "telephone_number": "512-238-1146",
            "fax_number": "512-238-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COFFEE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "VAN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE/AO",
        "authorized_official_telephone_number": "512-466-2966"
    },
    "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": "31891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176356",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Industria Coffee & Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Industria Coffee & Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory Coates, PA-C
• Amelia Cobb
• Mark W Coburn, MD
• Alecia Cody
• Brettjet Lyn Cody, PHD
• David William Coghe, MD
• Brenda K Cohen, DPM
• Dinna Orina Cohen, MD
• Jeffrey R Cohen, DPM
• Jessica Cohen

• Community/Retail Pharmacy in Round Rock, TX
• Providers in Round Rock, 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 Aug 16, 2018; 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.