Active NPI
Farzaneh Motaffaf
- Pharmacist
- Austin, TX
National Provider Identifier
1497386023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 40496
- Practice address
- 13425 FM 620 N Apt 1032
Austin, TX 78717-1014 - Phone
- (512) 701-3617
- NPI assigned
- Feb 2, 2020
- Sex
- Female
- 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 | 40496 | TX | Primary |
Addresses
Primary practice location
13425 FM 620 N Apt 1032
Austin, TX 78717-1014
Mailing address
13425 FM 620 N Apt 1032
Austin, TX 78717-1014
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | url |
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 |
|---|---|---|---|
| 40496 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580601600000",
"number": "1497386023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13425 FM 620 N APT 1032",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787171014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13425 FM 620 N APT 1032",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787171014",
"telephone_number": "512-701-3617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTAFFAF",
"first_name": "FARZANEH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-02",
"last_updated": "2020-02-02",
"certification_date": "2020-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "TX",
"license": "40496",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "url",
"affiliation": "N",
"address_1": "13425 Fm 620 N Apt 1032",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "787171014",
"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 Feb 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.