Active NPI
Melissa Julyanti, PHARM
- Pharmacist
- Austin, TX
National Provider Identifier
1457011850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69564
- Practice address
- 1139 W Braker LN Ste 102
Austin, TX 78758-4113 - Phone
- (512) 206-3150
- Fax
- (512) 727-0012
- NPI assigned
- Dec 27, 2021
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 69564 | TX | Primary |
Addresses
Primary practice location
1139 W Braker LN Ste 102
Austin, TX 78758-4113
Mailing address
1401 Lorraine Loop Unit a
Austin, TX 78758-4932
Phone (214) 310-3202
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | auropharmacy@aurorx.com |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69564 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640563200000",
"number": "1457011850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 LORRAINE LOOP UNIT A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787584932",
"telephone_number": "214-310-3202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1139 W BRAKER LN STE 102",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787584113",
"telephone_number": "512-206-3150",
"fax_number": "512-727-0012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JULYANTI",
"first_name": "MELISSA",
"credential": "PHARM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-27",
"last_updated": "2021-12-27",
"certification_date": "2021-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "69564",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "auropharmacy@aurorx.com",
"affiliation": "N",
"address_1": "1139 W Braker Ln Ste 102",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "787584113",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.