Organization Active NPI

Nugenerex PTX5 LLC

  • Community/Retail Pharmacy
  • Austin, TX
National Provider Identifier
1700353174
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NUGENEREX PTX5 LLC
Practice address
11420 Bee Caves Rd Ste B100
Austin, TX 78738-5529
Phone
(512) 643-0411
NPI assigned
Oct 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Authorized official

Name
Anthony Crisci
Title
Officer
Phone
(914) 527-1183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

11420 Bee Caves Rd Ste B100
Austin, TX 78738-5529

Mailing address

10102 USA Today Way
Miramar, FL 33025-3903

Other names 1

  • NuGenerex RX Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1700353174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10102 USA TODAY WAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11420 BEE CAVES RD STE B100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787385529",
            "telephone_number": "512-643-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUGENEREX PTX5 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "CRISCI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "914-527-1183"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NuGenerex RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 24, 2018; 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.