NPIMap

Organization Active NPI

Peoples Pharmacy

  • Community/Retail Pharmacy
  • Austin, TX
National Provider Identifier
1750509709
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
05334 Issued in TX
Legal business name
PEOPLES PHARMACY
Practice address
4018 N Lamar Blvd
Austin, TX 78756-3714
Phone
(512) 459-9090
Fax
(512) 371-1246
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Authorized official

Name
Donna Nicoloff
Title
Accounts Receivable
Phone
(512) 447-1799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 05334 TX Primary

Addresses

Primary practice location

4018 N Lamar Blvd
Austin, TX 78756-3714

Mailing address

4018 North Lamar Blvd
Austin, TX 78756
Phone (512) 459-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210617001864 TX Part B Supplier - Pharmacy 6305246018 3 other NPIs on this enrollment
Practice locations: Austin, TX

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0946642Peoples Pharmacy4018 N Lamar, Austin, TX 78756Certificate of waiverMay 28, 2028

National Provider Directory

National Provider Directory
Tax ID family
Peoples Pharmacy7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

4018 N Lamar Blvd
Austin, TX 78756
Phone 5122198600 ext. 1

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1750509709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4018 NORTH LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78756",
            "telephone_number": "512-459-9090",
            "fax_number": "512-371-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4018 N LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563714",
            "telephone_number": "512-459-9090",
            "fax_number": "512-371-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLES PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "NICOLOFF",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "512-447-1799"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "05334",
            "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 Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.