Active NPI
Janine Marie O'Dea
- Pharmacist
- Austin, TX
National Provider Identifier
1962718585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 48634
- Practice address
- 11521 N FM 620 Ste a
Austin, TX 78726-1168 - Phone
- (512) 249-0577
- NPI assigned
- Aug 19, 2010
- 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 | 48634 | TX | Primary |
Addresses
Primary practice location
11521 N FM 620 Ste a
Austin, TX 78726-1168
Mailing address
11521 N FM 620 Ste a
Austin, TX 78726-1168
Phone (512) 249-0577
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 |
|---|---|---|---|
| 48634 | TX | MD | Pharmacist |
Practice roles
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Austin, TX
- NPI 1063521037
-
- Community/Retail Pharmacy
- Georgetown, TX
- NPI 1770393217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282176000000",
"number": "1962718585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11521 N FM 620 STE A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787261168",
"telephone_number": "512-249-0577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11521 N FM 620 STE A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787261168",
"telephone_number": "512-249-0577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DEA",
"first_name": "JANINE MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-19",
"last_updated": "2010-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "48634",
"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 Aug 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.