Active NPI
Luke Jared Vaughan, PHARMD, RPH
- Pharmacist
- Austin, TX
National Provider Identifier
1821315953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45324
- Practice address
- 7112 Ed Bluestein Blvd
Austin, TX 78723-2900 - Phone
- (512) 926-0586
- Fax
- (512) 928-3031
- NPI assigned
- Apr 29, 2010
- Sex
- Male
- 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 | 45324 | TX | Primary |
Addresses
Primary practice location
7112 Ed Bluestein Blvd
Austin, TX 78723-2900
Mailing address
7714 Robalo Rd
Austin, TX 78757-1431
Phone (512) 656-8738
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45324 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272499200000",
"number": "1821315953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7714 ROBALO RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787571431",
"telephone_number": "512-656-8738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7112 ED BLUESTEIN BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787232900",
"telephone_number": "512-926-0586",
"fax_number": "512-928-3031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHAN",
"first_name": "LUKE",
"middle_name": "JARED",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-29",
"last_updated": "2010-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "45324",
"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 Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.