Organization Active NPI

South Austin Healthcare Company

  • Community/Retail Pharmacy
  • Austin, TX
National Provider Identifier
1790127264
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28664 Issued in TX
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

Updated by the provider on Jul 17, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
146871/TXMedicaidTX
2141343OtherPK

Other names 1

  • Rite-Away Pharmacy #4 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rite-Away Pharmacy 43 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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

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.

Verify at the official NPI Registry.