Active NPI
Autumn Lee, PHARMD
- Pharmacist
- Round Rock, TX
National Provider Identifier
1770043614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 62792
- Practice address
- 701 E Palm Valley Blvd
Round Rock, TX 78664-3245 - Phone
- (512) 255-2144
- NPI assigned
- Mar 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 62792 | TX | Primary |
Addresses
Primary practice location
701 E Palm Valley Blvd
Round Rock, TX 78664-3245
Mailing address
701 E Palm Valley Blvd
Round Rock, TX 78664-3245
Phone (512) 255-2144
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
| License | State | Type | Specialty |
|---|---|---|---|
| 62792 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quick Pharmacy, LLC | Past | Accepting new patients | |
| Quick Pharmacy, LLC | Past | 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": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553472000000",
"number": "1770043614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 E PALM VALLEY BLVD",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786643245",
"telephone_number": "512-255-2144",
"fax_number": "512-255-2422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E PALM VALLEY BLVD",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786643245",
"telephone_number": "512-255-2144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "AUTUMN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-25",
"last_updated": "2019-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "62792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.