Tarrytown Pharmacy

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

TARRYTOWN PHARMACY

Practice address

2727 Exposition Blvd Ste 100
Austin, TX 78703-1229

Phone

(512) 478-6419

NPI assigned

Jan 22, 2020

Organization subpart

No

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

Authorized official

Name

Mark D Newberry

Title

Owner

Phone

(512) 478-6419

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Tarrytown Pharmacy LLC

  dba Tarrytown Pharmacy

  • Community/Retail Pharmacy
  • Austin, TX
  • NPI 1942384078

  O20200511000569

  Same enrollment

Tax ID family

Tarrytown Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Tarrytown Pharmacy

  • Community/Retail Pharmacy
  • Austin, TX
  • NPI 1265620587
  NPD tax ID
• Tarrytown Pharmacy LLC

  dba Tarrytown Pharmacy

  • Long Term Care Pharmacy
  • Austin, TX
  • NPI 1598497166
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rose Herr, RPH, LMSW

  • Pharmacist
  • Austin, TX
  • NPI 1215696828
  NPD

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1972133544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 EXPOSITION BLVD STE 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787031227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 EXPOSITION BLVD STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787031229",
            "telephone_number": "512-478-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARRYTOWN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "NEWBERRY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-478-6419"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Targino, LPC-TX, LMHC-FL
• Kimberly Tarla, CPNP-PC
• Natalie Blanche Tarrant, M.D.
• Tarrytown Expocare, LLC (Tarrytown Expocare Pharmacy)
• Tarrytown Pharmacy
• Tarrytown Pharmacy LLC (Tarrytown Pharmacy)
• Tarrytown Pharmacy LLC (Tarrytown Pharmacy)
• Alexander Tartakovsky, LMT
• Jessica Tartaro, PHD
• Jordan Rose Tarter, PHARMD

• Primary Care Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.