NPIMap

Organization Active NPI

The Austin Diagnostic Clinic Association

Doing business as The Austin Diagnostic Clinic Pharmacy

  • Community/Retail Pharmacy
  • Austin, TX
National Provider Identifier
1912375775
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
30073 Issued in TX
Legal business name
THE AUSTIN DIAGNOSTIC CLINIC ASSOCIATION
Doing business as
The Austin Diagnostic Clinic Pharmacy
Practice address
12221 N Mopac Expy
Suite 100
Austin, TX 78758-2401
Phone
(512) 901-4797
Fax
(512) 901-3967
NPI assigned
Sep 10, 2015
Last updated
Sep 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Mr. Blake R Lancaster
Title
Pharmacy Manager
Phone
(205) 795-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 30073 TX Primary

Addresses

Primary practice location

12221 N Mopac Expy
Suite 100
Austin, TX 78758-2401

Mailing address

PO Box 55379
Dept # 10100 C/O Pharmapoint
Birmingham, AL 35255-5379
Phone (205) 795-8800

Other names 1

  • The Austin Diagnostic Clinic Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Austin Diagnostic Clinic Association20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1912375775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55379",
            "address_2": "DEPT # 10100 C/O PHARMAPOINT",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555379",
            "telephone_number": "205-795-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 N MOPAC EXPY",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582401",
            "telephone_number": "512-901-4797",
            "fax_number": "512-901-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AUSTIN DIAGNOSTIC CLINIC ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "LANCASTER",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "205-795-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Austin Diagnostic Clinic 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 Sep 10, 2015; 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.