Active NPI
Cody Gummelt
- Pharmacist
- Austin, TX
National Provider Identifier
1528623808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 58672
- Practice address
- 8500 Shoal Creek Blvd Ste 200
Austin, TX 78757-7591 - Phone
- (512) 617-7312
- Fax
- (512) 617-7313
- NPI assigned
- May 2, 2019
- 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 | 58672 | TX | Primary |
Addresses
Primary practice location
8500 Shoal Creek Blvd Ste 200
Austin, TX 78757-7591
Mailing address
3007 Catalina Dr
Austin, TX 78741-7033
Phone (254) 749-4248
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 |
|---|---|---|---|
| 58672 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1528623808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3007 CATALINA DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787417033",
"telephone_number": "254-749-4248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8500 SHOAL CREEK BLVD STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787577591",
"telephone_number": "512-617-7312",
"fax_number": "512-617-7313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUMMELT",
"first_name": "CODY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-02",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "58672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.