Active NPI
Medical Park Tower Pharmacy
- Pharmacist
- Austin, TX
National Provider Identifier
1306912472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18915
- Legal business name
- MEDICAL PARK TOWER PHARMACY
- Practice address
- 1301 W 38TH St
Ste. 135
Austin, TX 78705-1000 - Phone
- (512) 454-5626
- Fax
- (512) 454-3939
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah Pearson
- Title
- Owner
- Phone
- (512) 454-5626
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18915 | TX | Primary |
Addresses
Primary practice location
1301 W 38TH St
Ste. 135
Austin, TX 78705-1000
Mailing address
1301 W 38TH St
Ste. 135
Austin, TX 78705-1000
Phone (512) 454-5626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144753 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283904000000",
"number": "1306912472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 W 38TH ST",
"address_2": "STE. 135",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051000",
"telephone_number": "512-454-5626",
"fax_number": "512-454-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 W 38TH ST",
"address_2": "STE. 135",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051000",
"telephone_number": "512-454-5626",
"fax_number": "512-454-3939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL PARK TOWER PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2010-09-08",
"status": "A",
"authorized_official_last_name": "PEARSON",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-454-5626"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "TX",
"license": "18915",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "144753",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- Medical Arts Internal Medicine, P.a.
- Medical Center at Thoughtful House
- Medical Express, Inc.
- Medical Optimal Recovery Systems
- Medical Park Orthopaedic Clinic
- Medical Park Tower Surgery Center, LLC
- Medical Practice Management-LLC
- Medical Staffing Network, Inc (Nurses Plus)
- Medical Vascular Partners, PLLC
- Medici Medical Group PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.