Tarrytown Expocare, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

28150 Issued in TX

Legal business name

TARRYTOWN EXPOCARE, LLC

Doing business as

Tarrytown Expocare Pharmacy

Practice address

8500 Shoal Creek Blvd BLDG 1
Austin, TX 78757-6888

Phone

(512) 617-7312

Fax

(512) 617-7313

NPI assigned

Jul 30, 2012

Organization subpart

No

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

Authorized official

Name

Robert Meyer Jr

Title

Cfo

Phone

(512) 649-8963

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Tarrytown Expocare Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Tarrytown Expocare, LLC

  • Long Term Care Pharmacy
  • Tampa, FL
  • NPI 1437988300

  9436407962

  Same PAC ID
• Tarrytown Expocare, LLC

  • Long Term Care Pharmacy
  • Boothwyn, PA
  • NPI 1942182597

  9436407962

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Tarrytown Expocare LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Tarrytown Expocare MN, LLC

  • Long Term Care Pharmacy
  • Minnetonka, MN
  • NPI 1053268060
  NPD tax ID
• Tarrytown Expocare, LLC

  • Long Term Care Pharmacy
  • New Orleans, LA
  • NPI 1386212843
  NPD tax ID
• Tarrytown Expocare, LLC

  • Long Term Care Pharmacy
  • Tampa, FL
  • NPI 1437988300
  NPD tax ID
• Tarrytown Expocare, LLC

  • Long Term Care Pharmacy
  • Boothwyn, PA
  • NPI 1942182597
  NPD tax ID
• Tarrytown Expocare, LLC

  • Long Term Care Pharmacy
  • Carroll, OH
  • NPI 1972459204
  NPD tax ID

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1508112392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 SHOAL CREEK BLVD BLDG 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787576888",
            "telephone_number": "512-617-7312",
            "fax_number": "512-617-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 SHOAL CREEK BLVD BLDG 1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787576888",
            "telephone_number": "512-617-7312",
            "fax_number": "512-617-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARRYTOWN EXPOCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "MEYER JR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "512-649-8963"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "28150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351075",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137179",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146679",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tarrytown Expocare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tarrytown Expocare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Target99 LLC
• Target99 LLC
• Roberta Targino, LPC-TX, LMHC-FL
• Kimberly Tarla, CPNP-PC
• Natalie Blanche Tarrant, M.D.
• Tarrytown Pharmacy
• Tarrytown Pharmacy
• Tarrytown Pharmacy LLC
• Tarrytown Pharmacy LLC
• Alexander Tartakovsky, LMT

• Long Term Care Pharmacy in Austin, TX
• Providers in Austin, TX by specialty
• Long Term Care Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.