Active NPI
Vincent Doenges
- Pharmacotherapy Pharmacist
- Austin, TX
National Provider Identifier
1609117589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 36761
- Practice address
- 12214 Wycliff LN
Austin, TX 78727-5963 - Phone
- (512) 834-4386
- NPI assigned
- Mar 2, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 36761 | TX | Primary |
Addresses
Primary practice location
12214 Wycliff LN
Austin, TX 78727-5963
Mailing address
12214 Wycliff LN
Austin, TX 78727-5963
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 |
|---|---|---|---|
| 36761 | TX | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362182400000",
"number": "1609117589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12214 WYCLIFF LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787275963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12214 WYCLIFF LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787275963",
"telephone_number": "512-834-4386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOENGES",
"first_name": "VINCENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-02",
"last_updated": "2013-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "TX",
"license": "36761",
"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 Mar 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.