Organization Active NPI

Hospital Pharmacy

  • Pharmacy
  • Austin, TX
National Provider Identifier
1467512434
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
3355 Issued in TX
Legal business name
HOSPITAL PHARMACY
Practice address
2115 E M L King Blvd
Austin, TX 78702
Phone
(512) 476-7338
Fax
(512) 476-7341
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
O Houston
Title
Owner
Phone
(517) 476-7338

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 3355 TX Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

2115 E M L King Blvd
Austin, TX 78702

Mailing address

2115 E M L King Blvd
Austin, TX 78702

Other identifiers 2

IdentifierTypeStateIssuer
130675MedicaidTX
4513176OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1467512434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 E M L KING BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 E M L KING BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78702",
            "telephone_number": "512-476-7338",
            "fax_number": "512-476-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-476-7338"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "3355",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130675",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4513176",
            "state": null
        }
    ],
    "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 Sep 4, 2007; 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.