Active NPI
Hayder Shmose, RPH
- Pharmacist
- Austin, TX
National Provider Identifier
1891550554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 68114
- Practice address
- 901 W Ben White Blvd
Austin, TX 78704-6903 - Phone
- (512) 816-6160
- NPI assigned
- Feb 20, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | 68114 | TX | Primary |
Addresses
Primary practice location
901 W Ben White Blvd
Austin, TX 78704-6903
Mailing address
901 W Ben White Blvd
Austin, TX 78704-6903
Phone (512) 816-6160
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
| License | State | Type | Specialty |
|---|---|---|---|
| 68114 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1891550554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 W BEN WHITE BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787046903",
"telephone_number": "512-816-6160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W BEN WHITE BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787046903",
"telephone_number": "512-816-6160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHMOSE",
"first_name": "HAYDER",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-20",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "68114",
"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 Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.