Austin Washburn

Primary specialty

PharmacistTaxonomy code 183500000X

License

059463 Issued in NY

Practice address

437 Electronics Pkwy
Liverpool, NY 13088-6001

Phone

(315) 453-1750

NPI assigned

Nov 2, 2015

Last updated

Jul 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• KPH Healthcare Services, Inc.

  dba Kinney Drugs #63

  • Community/Retail Pharmacy
  • Auburn, NY
  • NPI 1245347962
  NPD (past)
• KPH Healthcare Services, Inc.

  dba Kinney Drugs #79

  • Community/Retail Pharmacy
  • Liverpool, NY
  • NPI 1619084894
  NPD (past)
• KPH Healthcare Services, Inc.

  dba Kinney Drugs #153

  • Community/Retail Pharmacy
  • Brattleboro, VT
  • NPI 1407747157
  NPD (past)

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1669845426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 KIBBY RD",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130279629",
            "telephone_number": "315-255-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 ELECTRONICS PKWY",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886001",
            "telephone_number": "315-453-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHBURN",
        "first_name": "AUSTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-02",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "059463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "austinwashburn@kinneydrugs.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "437 Electronics Pkwy",
            "city": "Liverpool",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130886001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1831)
• Walgreen Co (Rite Aid #19573)
• Walgreen Co (Walgreens #19542)
• Walgreen Co (Rite Aid #10747)
• Shain S Wallis, DO
• Anthony R Watson, MD
• Rachel Webb, LMSW
• Travis Paul Webb
• Wegmans Food Markets, Inc. (Wegmans Pharmacy #034)
• Wegmans Food Markets, Inc. (Wegmans Pharmacy #035)

• Pharmacist in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.