Active NPI
South Austin Healthcare Company
- Community/Retail Pharmacy
- Austin, TX
National Provider Identifier
1790127264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 28664
- Legal business name
- SOUTH AUSTIN HEALTHCARE COMPANY
- Practice address
- 4203 James Casey St Ste a
Austin, TX 78745-1108 - Phone
- (512) 827-2250
- Fax
- (512) 582-8519
- NPI assigned
- Jul 24, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rohit Chaudhary
- Title
- Owner,MGR,Ao
- Phone
- (832) 289-5775
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 28664 | TX | Primary |
Addresses
Primary practice location
4203 James Casey St Ste a
Austin, TX 78745-1108
Mailing address
4203 James Casey St Ste a
Austin, TX 78745-1108
Phone (512) 827-2250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146871/TX | Medicaid | TX | |
| 2141343 | Other | PK |
Other names 1
- Rite-Away Pharmacy #4
National Provider Directory
National Provider Directory- Tax ID family
- Rite-Away Pharmacy 4
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Austin, TX
- NPI 1477267797
-
- Community/Retail Pharmacy
- Austin, TX
- NPI 1902156516
Locations
2410 E Riverside Dr
Ste D4
Austin, TX 78741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721174400000",
"number": "1790127264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4203 JAMES CASEY ST STE A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787451108",
"telephone_number": "512-827-2250",
"fax_number": "512-582-8519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4203 JAMES CASEY ST STE A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787451108",
"telephone_number": "512-827-2250",
"fax_number": "512-582-8519"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH AUSTIN HEALTHCARE COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-24",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A",
"authorized_official_last_name": "CHAUDHARY",
"authorized_official_first_name": "ROHIT",
"authorized_official_title_or_position": "OWNER,MGR,AO",
"authorized_official_telephone_number": "832-289-5775"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "28664",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146871/TX",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2141343",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rite-Away Pharmacy #4",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Austin, TX
- South Austin Emergency Center, LLC
- South Austin Family Practice Clinic, PLLC
- South Austin Group Health, LLC
- South Austin Health Imaging LLC
- South Austin Healthcare Company
- South Austin Healthcare Company
- South Austin Medical Clinic PA
- South Austin Microendodontics
- South Austin OB-GYN
- South Austin Oral Surgery
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.