Shane Austin, PHARM.D.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

2014016781 Issued in MO

Practice address

8660 Old Bonhomme Rd Apt B
Saint Louis, MO 63132-3936

Phone

(618) 201-6650

NPI assigned

Jun 18, 2015

Last updated

Jun 18, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1942682604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8660 OLD BONHOMME RD APT B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323936",
            "telephone_number": "618-201-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8660 OLD BONHOMME RD APT B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323936",
            "telephone_number": "618-201-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MO",
            "license": "2014016781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Lee Austin, MD
• Karen Lynn Austin, M.D.
• Latania Zshanita Austin, CRNA
• Melvin James Austin, D.D.S.
• Paul F Austin, MD
• Sharon Austin
• Shelia Austin, LCSW
• Shontel Sheree Austin, CNA
• Tricia M. Austin, PHD, PT, ATC
• Autism Ally Personal Care Services LLC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.