NPIMap

Organization Active NPI

Peoples Pharmacy

  • Community/Retail Pharmacy
  • Austin, TX
National Provider Identifier
1407979685
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
05333 Issued in TX
Legal business name
PEOPLES PHARMACY
Practice address
3801 S Lamar Blvd
Austin, TX 78704-7943
Phone
(512) 444-8866
Fax
(512) 444-8799
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Donna Nicoloff
Title
Accounts Receivable
Phone
(512) 447-1799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 05333 TX Primary

Addresses

Primary practice location

3801 S Lamar Blvd
Austin, TX 78704-7943

Mailing address

3801 S Lamar Blvd
Austin, TX 78704-7943
Phone (512) 444-8866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210617001864 TX Part B Supplier - Pharmacy 6305246018 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Austin, TX

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Peoples Pharmacy7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1407979685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 S LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047943",
            "telephone_number": "512-444-8866",
            "fax_number": "512-444-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047943",
            "telephone_number": "512-444-8866",
            "fax_number": "512-444-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLES PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "NICOLOFF",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "512-447-1799"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "05333",
            "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 Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.