NPIMap

Organization Active NPI

University of Texas at Austin Office of Acctg

Doing business as Forty Acres Pharmacy

  • Community/Retail Pharmacy
  • Austin, TX
National Provider Identifier
1396884540
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
05620 Issued in TX
Legal business name
UNIVERSITY OF TEXAS AT AUSTIN OFFICE OF ACCTG
Doing business as
Forty Acres Pharmacy
Practice address
100 F W Dean Keeton SSB 1 110
Austin, TX 78712-1108
Phone
(512) 471-1824
Fax
(512) 475-8218
NPI assigned
Feb 5, 2007
Last updated
Jul 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Terry Weaver, RPHNPI 1780690883
Title
Chief Pharmacist
Phone
(512) 471-1824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 05620 TX Primary

Addresses

Primary practice location

100 F W Dean Keeton SSB 1 110
Austin, TX 78712-1108

Mailing address

100 W Dean Keeton St
Stop A3910
Austin, TX 78712-1091
Phone (512) 471-1824

Other identifiers 1

IdentifierTypeStateIssuer
2093495OtherPK

Other names 1

  • Forty Acres Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
U of T Stud ENT Health12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 W Dean Keeton St
#1
Austin, TX 78712
Phone (512) 471-1824

100 W Dean Keeton St
Stop A3910
Austin, TX 78712

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1396884540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W DEAN KEETON ST",
            "address_2": "STOP A3910",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121091",
            "telephone_number": "512-471-1824",
            "fax_number": "512-475-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 F W DEAN KEETON SSB 1 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121108",
            "telephone_number": "512-471-1824",
            "fax_number": "512-475-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF TEXAS AT AUSTIN OFFICE OF ACCTG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "512-471-1824",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "05620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2093495",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forty Acres Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 6, 2016; 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.