Active NPI
38TH Street Pharmacy, Inc.
- Durable Medical Equipment & Medical Supplies
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0812860001
- Legal business name
- 38TH STREET PHARMACY, INC.
- Practice address
- 711 W 38TH St Ste C3
Austin, TX 78705-1126 - Phone
- (512) 458-3784
- Fax
- (512) 458-1882
- NPI assigned
- Aug 29, 2007
- Last updated
- Nov 14, 2011
- 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
- Mr. Jeffrey Warnken
- Title
- President
- Phone
- (512) 458-3784
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0812860001 | TX | Primary |
Addresses
Primary practice location
711 W 38TH St Ste C3
Austin, TX 78705-1126
Mailing address
711 W 38TH St Ste C3
Austin, TX 78705-1126
Phone (512) 458-3784
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143636 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930081263 | TX | DME Supplier - Pharmacy | 7113047002 | Practice locations: Austin, TX |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba 38th Street Pharmacy
- Clinic/Center
- Austin, TX
- NPI 1558474734
7113047002
National Provider Directory
National Provider Directory- Tax ID family
- 38TH Street Pharmacy Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Austin, TX
- NPI 1205623477
Locations
711 W 38th St
Ste C3
Austin, TX 78705
Phone (512) 458-3784
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Austin, TX
- NPI 1639781859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321228800000",
"number": "1871787176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 W 38TH ST STE C3",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051126",
"telephone_number": "512-458-3784",
"fax_number": "512-458-1882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 W 38TH ST STE C3",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051126",
"telephone_number": "512-458-3784",
"fax_number": "512-458-1882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "38TH STREET PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-29",
"last_updated": "2011-11-14",
"status": "A",
"authorized_official_last_name": "WARNKEN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "512-458-3784",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "0812860001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143636",
"state": "TX"
}
],
"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 Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.