NPIMap

Ascension Seton

Organization Active NPI Pharmacy · Austin, TX

NPI 1679787642 · NPPES record last updated Aug 6, 2020

Key facts

NPI
1679787642
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacy 333600000X
Legal business name
ASCENSION SETON
Practice address
4900 Mueller Blvd # 4C024
Austin, TX 78723-3079
Phone
(512) 324-0149
Fax
(512) 324-0756
NPI assigned
May 9, 2007
Organization subpart
No

Authorized official

Name
Julie Holly
Title
Regional Director Net Rev & Reimb
Phone
(512) 324-3269

Corporate family (same tax ID) 49

Organizations that report the same tax identification number in the National Provider Directory.

View all 49

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Ascension Seton (50 organizations share this tax ID)

Locations

1345 Philomena St
#362
Austin, TX 78723

4900 Mueller Blvd
#4C24
Austin, TX 78723
Phone (512) 324-0149

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Yes
Community/Retail Pharmacy 3336C0003X
Institutional Pharmacy 3336I0012X 25543 TX

Addresses

Primary practice location

4900 Mueller Blvd # 4C024
Austin, TX 78723-3079

Mailing address

4900 Mueller Blvd # 4C.024
Austin, TX 78723-3079
Phone (512) 324-0149

Other identifiers

IdentifierTypeStateIssuer
25543OtherTXBOARD OF PHARMACY LICENSE

Other names

  • Dell Children's Medical Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 6, 2020.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1679787642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 MUELLER BLVD # 4C.024",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233079",
            "telephone_number": "512-324-0149",
            "fax_number": "512-324-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 MUELLER BLVD # 4C024",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233079",
            "telephone_number": "512-324-0149",
            "fax_number": "512-324-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION SETON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "HOLLY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR NET REV & REIMB",
        "authorized_official_telephone_number": "512-324-3269"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "TX",
            "license": "25543",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY LICENSE",
            "identifier": "25543",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dell Children's Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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Verify at the official NPI Registry.