Active NPI
Derrick Austin
- Pharmacist
- Heflin, AL
National Provider Identifier
1467859629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10984
- Practice address
- 64 Giles St
Heflin, AL 36264-1738 - Phone
- (256) 393-4063
- Fax
- (256) 463-2026
- NPI assigned
- Dec 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 10984 | AL | Primary |
Addresses
Primary practice location
64 Giles St
Heflin, AL 36264-1738
Mailing address
64 Giles St
Heflin, AL 36264-1738
Phone (256) 393-4063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10984 | Other | AL | ALBAMA LICENSE NUMBER |
Other names 1
- Derrick Austin
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 |
|---|---|---|---|
| 10984 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423008000000",
"number": "1467859629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 GILES ST",
"city": "HEFLIN",
"state": "AL",
"postal_code": "362641738",
"telephone_number": "256-393-4063",
"fax_number": "256-463-2026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 GILES ST",
"city": "HEFLIN",
"state": "AL",
"postal_code": "362641738",
"telephone_number": "256-393-4063",
"fax_number": "256-463-2026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "DERRICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-03",
"last_updated": "2015-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "10984",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALBAMA LICENSE NUMBER",
"identifier": "10984",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DERRICK",
"last_name": "AUSTIN",
"credential": "PHARMD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Heflin, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.