Active NPI
Jaylon Cole
- Pharmacist
- Austin, TX
National Provider Identifier
1326612359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67845
- Practice address
- 3407 Wells Branch Pkwy Ste 675
Austin, TX 78728-6655 - Phone
- (512) 388-1539
- NPI assigned
- May 14, 2021
- Last updated
- May 14, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 67845 | TX | Primary |
Addresses
Primary practice location
3407 Wells Branch Pkwy Ste 675
Austin, TX 78728-6655
Mailing address
4301 Grand Avenue Pkwy Apt 3231
Austin, TX 78728-0034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67845 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients |
Locations
3407 Wells Branch Pkwy
Ste 675
Austin, TX 78728
Phone (512) 388-1539
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1326612359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 GRAND AVENUE PKWY APT 3231",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787280034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3407 WELLS BRANCH PKWY STE 675",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787286655",
"telephone_number": "512-388-1539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "JAYLON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-14",
"last_updated": "2021-05-14",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "67845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.