Individual provider Active NPI

Melvin Vernon Podsim, RPH

  • Pharmacist
  • Austin, TX
National Provider Identifier
1811238066
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17555 Issued in TX
Practice address
6001 W Parmer LN
Austin, TX 78727-3901
Phone
(512) 249-8316
Fax
(512) 249-8354
NPI assigned
Mar 13, 2013
Last updated
Mar 13, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17555 TX Primary

Addresses

Primary practice location

6001 W Parmer LN
Austin, TX 78727-3901

Mailing address

6001 W Parmer LN
Austin, TX 78727-3901
Phone (512) 249-8316

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
17555TXMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1811238066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 W PARMER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787273901",
            "telephone_number": "512-249-8316",
            "fax_number": "512-249-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 W PARMER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787273901",
            "telephone_number": "512-249-8316",
            "fax_number": "512-249-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODSIM",
        "first_name": "MELVIN",
        "middle_name": "VERNON",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "17555",
            "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 Mar 13, 2013; 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.