Pops Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29281 Issued in TX

Legal business name

POPS PHARMACY LLC

Practice address

11719 Bee Cave Pkwy Ste 204
Austin, TX 78738-6347

Phone

(512) 487-5650

Fax

(512) 857-7843

NPI assigned

Dec 3, 2012

Organization subpart

No

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

Authorized official

Name

Adam Metcalf

Title

Managing Member

Phone

(512) 487-5650

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Bee Cave Specialty Pharmacy Doing business as

Tax ID family

Bee Cave Specialty 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.

• Pop'S Pharmacy

  • Pharmacy
  • Bee Cave, TX
  • NPI 1194137075
  NPD tax ID

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1962747915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11719 BEE CAVES RD",
            "address_2": "STE 204",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787385539",
            "telephone_number": "512-487-5650",
            "fax_number": "512-857-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11719 BEE CAVE PKWY STE 204",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787386347",
            "telephone_number": "512-487-5650",
            "fax_number": "512-857-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "METCALF",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "512-487-5650"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29281",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146580",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bee Cave Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelby Kristin Pope, CRNA
• Jared Poplin, DMD
• Melissa Marie Poppenhusen, OD
• Poppy Behavior Consulting LLC
• Poppy Health LLC
• David Porianda, DPT
• Francisca Porras
• Micaela Porras
• Rebecca R Porras, MD
• Lily Shokooh Porsa, DO

• Community/Retail Pharmacy in Austin, TX
• Providers in Austin, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.