Individual provider Active NPI

Douglas F Austin, DPH

  • Pharmacist
  • Johnson City, TN
National Provider Identifier
1467534503
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
C7964 Issued in TN
Practice address
714 West Market St
Suite 103 Co Hillcrest Drug
Johnson City, TN 37604-5483
Phone
(423) 926-6231
Fax
(423) 926-6231
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X C7964 TN Primary

Addresses

Primary practice location

714 West Market St
Suite 103 Co Hillcrest Drug
Johnson City, TN 37604-5483

Mailing address

714 West Market
Suite 103 Co Hillcrest Drug
Johnson City, TN 37604-5483
Phone (423) 926-6231

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

LicenseStateTypeSpecialty
C7964TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hillcrest Drug Store Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467534503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 WEST MARKET",
            "address_2": "SUITE 103 CO HILLCREST DRUG",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045483",
            "telephone_number": "423-926-6231",
            "fax_number": "423-926-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 WEST MARKET ST",
            "address_2": "SUITE 103 CO HILLCREST DRUG",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045483",
            "telephone_number": "423-926-6231",
            "fax_number": "423-926-6231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "DOUGLAS",
        "middle_name": "F",
        "credential": "DPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "C7964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.