Organization Active NPI

Eco Pharmacy of South Austin LLC

  • Pharmacy
  • Austin, TX
National Provider Identifier
1831584242
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
ECO PHARMACY OF SOUTH AUSTIN LLC
Practice address
11420 Bee Caves Rd Ste B100
Austin, TX 78738
Phone
(512) 519-9248
Fax
(512) 519-9238
NPI assigned
Apr 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Authorized official

Name
Kevin Kuykendall
Title
Owner
Phone
(512) 643-0411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

11420 Bee Caves Rd Ste B100
Austin, TX 78738

Mailing address

11420 Bee Caves Rd Ste B100
Austin, TX 78738-5529
Phone (512) 643-0411

Other identifiers 1

IdentifierTypeStateIssuer
2151120OtherPK

Other names 1

  • Austin Specialty Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

11420 Bee Caves Rd
Ste B100
Bee Caves, TX 78738
Phone (512) 284-8541

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1831584242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 BEE CAVES RD STE B100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787385529",
            "telephone_number": "512-643-0411",
            "fax_number": "512-519-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11420 BEE CAVES RD STE B100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78738",
            "telephone_number": "512-519-9248",
            "fax_number": "512-519-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECO PHARMACY OF SOUTH AUSTIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "KUYKENDALL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-643-0411"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151120",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Austin Specialty Pharmacy",
            "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 27, 2018; 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.