Active NPI
Shannon Ruth Mayberry
- Pharmacy Technician
- Austin, TX
National Provider Identifier
1437888252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 295011
- Practice address
- 7025 Village Center Dr
Austin, TX 78731-3023 - Phone
- (512) 502-8801
- NPI assigned
- Jun 7, 2022
- Last updated
- Jun 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 295011 | TX | Primary |
Addresses
Primary practice location
7025 Village Center Dr
Austin, TX 78731-3023
Mailing address
7025 Village Center Dr
Austin, TX 78731-3023
Phone (512) 502-8801
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 |
|---|---|---|---|
| 295011 | TX | MD | Pharmacy Technician |
Practice roles
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1437888252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7025 VILLAGE CENTER DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787313023",
"telephone_number": "512-502-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7025 VILLAGE CENTER DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787313023",
"telephone_number": "512-502-8801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYBERRY",
"first_name": "SHANNON",
"middle_name": "RUTH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-07",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "295011",
"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 Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.