Texas Prescription Providers LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

26733 Issued in TX

Legal business name

TEXAS PRESCRIPTION PROVIDERS LLC

Practice address

911 W Anderson LN
Ste 117
Austin, TX 78757-1501

Phone

(512) 600-3170

Fax

(512) 600-3171

NPI assigned

Dec 31, 2009

Organization subpart

No

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

Authorized official

Name

Will Shepard

Title

President

Phone

(210) 669-2909

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Spicewood Specialty Pharmacy Doing business as

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1508196221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 W ANDERSON LN STE 117",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571562",
            "telephone_number": "512-600-3170",
            "fax_number": "512-600-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 W ANDERSON LN",
            "address_2": "STE 117",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571501",
            "telephone_number": "512-600-3170",
            "fax_number": "512-600-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PRESCRIPTION PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "WILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-669-2909"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26733",
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4554831",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spicewood Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Austin, TX
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.