Individual provider Active NPI

Erin Michelle Austin, PHARMD

  • Pharmacist
  • Bethalto, IL
National Provider Identifier
1356624894
Registry record updated Jul 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051294637 Issued in IL
Practice address
68 N Bellwood Rd
Bethalto, IL 62010
Phone
(618) 717-7051
Fax
(618) 717-7052
NPI assigned
Sep 21, 2011
Last updated
Jul 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2010022983 MO
Pharmacist 183500000X 051294637 IL Primary

Addresses

Primary practice location

68 N Bellwood Rd
Bethalto, IL 62010

Mailing address

68 N Bellwood Rd
Bethalto, IL 62010-1794
Phone (618) 717-7051

Other practice location 1

1650 Washington Ave
Alton, IL 62002-3931
Phone (618) 462-5386

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
051294637ILMDPharmacist
2010022983MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531526400000",
    "number": "1356624894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 N BELLWOOD RD",
            "city": "BETHALTO",
            "state": "IL",
            "postal_code": "620101794",
            "telephone_number": "618-717-7051",
            "fax_number": "618-717-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 N BELLWOOD RD",
            "city": "BETHALTO",
            "state": "IL",
            "postal_code": "62010",
            "telephone_number": "618-717-7051",
            "fax_number": "618-717-7052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Alton",
            "state": "IL",
            "postal_code": "620023931",
            "country_code": "US",
            "telephone_number": "618-462-5386",
            "fax_number": "618-462-5852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "ERIN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2018-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2010022983",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051294637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethalto, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.