Active NPI
James Cong
- Pharmacist
- Austin, TX
National Provider Identifier
1366097768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 64978
- Practice address
- 2727 Exposition Blvd Ste 105
Austin, TX 78703-1227 - Phone
- (512) 478-6419
- NPI assigned
- Aug 3, 2019
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 64978 | TX | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 64978 | TX | |
| Pharmacotherapy Pharmacist | 1835P1200X | 64978 | TX | |
| Psychiatric Pharmacist | 1835P1300X | 64978 | TX | |
| Ambulatory Care Pharmacist | 1835P2201X | 64978 | TX | |
| Pharmacist | 183500000X | 64978 | TX | Primary |
Addresses
Primary practice location
2727 Exposition Blvd Ste 105
Austin, TX 78703-1227
Mailing address
9417 Altona Way
Austin, TX 78717-4594
Phone (512) 739-7527
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64978 | Other | TX | TEXAS STATE BOARD OF PHARMACY |
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 |
|---|---|---|---|
| 64978 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564790400000",
"number": "1366097768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9417 ALTONA WAY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787174594",
"telephone_number": "512-739-7527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 EXPOSITION BLVD STE 105",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787031227",
"telephone_number": "512-478-6419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONG",
"first_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-03",
"last_updated": "2019-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "TX",
"license": "64978",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "TX",
"license": "64978",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "TX",
"license": "64978",
"primary": false
},
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "TX",
"license": "64978",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "TX",
"license": "64978",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "64978",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE BOARD OF PHARMACY",
"identifier": "64978",
"state": "TX"
}
],
"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 Aug 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.