Individual provider Active NPI

Austin Thomas Horner, PHARMD

  • Pharmacist
  • Vancouver, WA
National Provider Identifier
1609138064
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60224879 Issued in WA
Practice address
8716 E Mill Plain Blvd
Vancouver, WA 98664-2531
Phone
(360) 514-6087
Fax
(360) 729-3021
NPI assigned
Jun 12, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH-0012709 OR
Pharmacist 183500000X 1-15064 KS
Pharmacist 183500000X PH60224879 WA Primary

Addresses

Primary practice location

8716 E Mill Plain Blvd
Vancouver, WA 98664-2531

Mailing address

8300 NE 137TH Ave # a
Vancouver, WA 98682-3085
Phone (360) 883-1865

Other practice location 1

8300 NE 137th Ave # A
Vancouver, WA 98682-3085
Phone (360) 883-1865

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
1-15064KSMDPharmacist
RPH-0012709ORMDPharmacist
PH60224879WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Albertsons LLC Past Accepting new patients
Albertsons LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1609138064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 NE 137TH AVE # A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986823085",
            "telephone_number": "360-883-1865",
            "fax_number": "360-883-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8716 E MILL PLAIN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986642531",
            "telephone_number": "360-514-6087",
            "fax_number": "360-729-3021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 NE 137th Ave # A",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986823085",
            "country_code": "US",
            "telephone_number": "360-883-1865",
            "fax_number": "360-883-6427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORNER",
        "first_name": "AUSTIN",
        "middle_name": "THOMAS",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0012709",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-15064",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60224879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.