Organization Active NPI

Ace Medical Pharmacy

  • Community/Retail Pharmacy
  • Austin, TX
National Provider Identifier
1912196932
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
22286 Issued in TX
Legal business name
ACE MEDICAL PHARMACY
Practice address
611 W Ben White Blvd
Austin, TX 78704-7187
Phone
(512) 444-2391
Fax
(512) 444-5560
NPI assigned
Oct 16, 2007
Last updated
Oct 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Paul Mayhall, RPH
Title
Pharmacist
Phone
(512) 444-2391

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 22286 TX Primary

Addresses

Primary practice location

611 W Ben White Blvd
Austin, TX 78704-7187

Mailing address

611 W Ben White Blvd
Austin, TX 78704-7187

Other identifiers 2

IdentifierTypeStateIssuer
4512960OtherOTHER ID NUMBER
145209MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Ace Medical and Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

611 W Ben White Blvd
Austin, TX 78704
Phone (512) 444-2391

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1912196932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W BEN WHITE BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W BEN WHITE BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047187",
            "telephone_number": "512-444-2391",
            "fax_number": "512-444-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE MEDICAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "MAYHALL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "512-444-2391",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "22286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4512960",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145209",
            "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 Oct 16, 2007; 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.