Active NPI
Austin Pharmacy
- Pharmacy Technician
- Buna, TX
National Provider Identifier
1316032428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 112330
- Legal business name
- AUSTIN PHARMACY
- Practice address
- 15558 FM 1004 W
Buna, TX 77612 - Phone
- (409) 994-3578
- Fax
- (409) 994-5718
- NPI assigned
- Oct 4, 2006
- Last updated
- Sep 11, 2025
- 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
- Mr. Russell Cleve West, R.PH.
- Title
- Owner/Pic
- Phone
- (409) 994-3578
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15224 | TX | |
| Pharmacist | 183500000X | 19231 | TX | |
| Pharmacy Technician | 183700000X | 116106 | TX | |
| Pharmacy Technician | 183700000X | 112330 | TX | Primary |
Addresses
Primary practice location
15558 FM 1004 W
Buna, TX 77612
Mailing address
PO Box 310
15558 FM 1004 W
Buna, TX 77612-0310
Phone (409) 994-3578
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4588286 | Other | TX | NABP |
| 17483 | Other | TX | STORE LICENSE |
National Provider Directory
National Provider DirectoryLocations
15558 FM 1004 Rd W
Buna, TX 77612
Phone (409) 994-3578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1316032428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 310",
"address_2": "15558 FM 1004 W",
"city": "BUNA",
"state": "TX",
"postal_code": "776120310",
"telephone_number": "409-994-3578",
"fax_number": "409-994-5718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15558 FM 1004 W",
"city": "BUNA",
"state": "TX",
"postal_code": "77612",
"telephone_number": "409-994-3578",
"fax_number": "409-994-5718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUSTIN PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "WEST",
"authorized_official_first_name": "RUSSELL",
"authorized_official_middle_name": "CLEVE",
"authorized_official_title_or_position": "OWNER/PIC",
"authorized_official_telephone_number": "409-994-3578",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "15224",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "19231",
"primary": false
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "116106",
"primary": false
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "112330",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "4588286",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STORE LICENSE",
"identifier": "17483",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buna, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.