Stonegate Pharmacy LP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

24369 Issued in TX

Legal business name

STONEGATE PHARMACY LP

Doing business as

Stonegate Pharmacy

Practice address

2501 W William Cannon Dr
BLDG 2 Ste 203
Austin, TX 78745-5281

Phone

(512) 707-2300

Fax

(512) 707-2378

NPI assigned

Jun 11, 2006

Last updated

May 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rene Garza, PHARMDNPI 1609430586

Title

Owner/Pharmacist

Phone

(512) 707-2300

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• STONEGATE PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rene Faustino Garza, PHARMD

  • Pharmacist
  • Austin, TX
  • NPI 1609430586
  Authorized official Same address or phone

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1578505145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W WILLIAM CANNON DR",
            "address_2": "BLDG 2 STE 203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455281",
            "telephone_number": "512-707-2300",
            "fax_number": "512-707-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W WILLIAM CANNON DR",
            "address_2": "BLDG 2 STE 203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787455281",
            "telephone_number": "512-707-2300",
            "fax_number": "512-707-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEGATE PHARMACY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "512-707-2300",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "24369",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2098761",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145652",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STONEGATE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stonebridge Health Center
• Stonebridge Health Center, Inc
• Stonebridge SCC, LLC (Stonebridge SN Health Center)
• Robert F Stonecipher, MD
• Felicia Stonedale, M.D.
• Stonegate Surgery Center LP
• Stonehedge Group Inc
• Cassandra Stoneman, BCBA
• Mary C. Stoner, PNP
• Ann B. Stoneson, LPC

• Community/Retail Pharmacy in Austin, TX
• Providers in Austin, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; 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.