Individual provider Active NPI

Nicole Alyssa Barber, PHARMD, BSPS

  • Pharmacist
  • Austin, TX
National Provider Identifier
1689283301
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
66943 Issued in TX
Practice address
3921 W Parmer LN
Austin, TX 78727-4121
Phone
(512) 832-1092
NPI assigned
Jul 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 66943 TX Primary

Addresses

Primary practice location

3921 W Parmer LN
Austin, TX 78727-4121

Mailing address

1501 Heatherwilde Blvd Apt 1134
Pflugerville, TX 78660-4572
Phone (570) 578-0537

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
66943TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Aug 2, 2020 Accepting new patients
Walgreen Co PastSince Aug 2, 2020 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": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1689283301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 HEATHERWILDE BLVD APT 1134",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786604572",
            "telephone_number": "570-578-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 W PARMER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787274121",
            "telephone_number": "512-832-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBER",
        "first_name": "NICOLE",
        "middle_name": "ALYSSA",
        "credential": "PHARMD, BSPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "66943",
            "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 Jul 28, 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.