Live Oak Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

26887 Issued in TX

Legal business name

LIVE OAK PHARMACY LLC

Doing business as

Live Oak Pharmacy

Practice address

1611 W 5TH St Ste 160
Austin, TX 78703-4874

Phone

(512) 476-8979

Fax

(512) 476-8980

NPI assigned

Apr 9, 2010

Organization subpart

No

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

Authorized official

Name

Nathan PopeNPI 1245390152

Title

Owner, Pic

Phone

(512) 476-8979

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Live Oak Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathan Pope, PHARM.D.

  • Pharmacist
  • Austin, TX
  • NPI 1245390152
  NPD (past) Authorized official

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1407172901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 W 5TH ST",
            "address_2": "SUITE 160",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034874",
            "telephone_number": "512-476-8979",
            "fax_number": "512-476-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 W 5TH ST STE 160",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034874",
            "telephone_number": "512-476-8979",
            "fax_number": "512-476-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE OAK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER, PIC",
        "authorized_official_telephone_number": "512-476-8979"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4555302",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Oak Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Liv HRT LLC
• Live Better Austin Counseling & Therapy PLLC
• Live Better Enterprises, LLC
• Live Love Relax
• Live Oak Collective LLC
• Live Oak Psychology PLLC
• Live Oak Vision, PLLC
• Brook Catherine Livecchi
• Living in Recovery, LLC
• Living Proof Counseling Services PLLC

• Community/Retail Pharmacy in Austin, TX
• Providers in Austin, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.