Active NPI
Eco Pharmacy of South Austin LLC
- Pharmacy
- Austin, TX
National Provider Identifier
1831584242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2151120 | Other | PK |
Other names 1
- Austin Specialty Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.