Active NPI
Siobhan Atchley
- Pharmacist
- Blanco, TX
National Provider Identifier
1962277764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 30814
- Practice address
- 316 Pecan St
Blanco, TX 78606-2607 - Phone
- (830) 833-4815
- NPI assigned
- Nov 21, 2023
- Last updated
- Nov 21, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 30814 | TX | Primary |
Addresses
Primary practice location
316 Pecan St
Blanco, TX 78606-2607
Mailing address
PO Box 369
Blanco, TX 78606-0369
Phone (830) 833-4815
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30814 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blanco Community Pharmacy & Health Center LLC | Current | Accepting new patients |
Locations
316 Pecan St
Blanco, TX 78606
Phone (737) 703-8191
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Blanco Pharmacy & Wellness
- Community/Retail Pharmacy
- Blanco, TX
- NPI 1467442699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700524800000",
"number": "1962277764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 369",
"city": "BLANCO",
"state": "TX",
"postal_code": "786060369",
"telephone_number": "830-833-4815",
"fax_number": "830-833-5585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 PECAN ST",
"city": "BLANCO",
"state": "TX",
"postal_code": "786062607",
"telephone_number": "830-833-4815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATCHLEY",
"first_name": "SIOBHAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-21",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "30814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blanco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.