MEDICINE SHOPPE (NPI# 1083740492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083740492 |
| Entity Type | Organization |
| Organization Name | MEDICINE SHOPPE |
| Practice Address |
1508 W 35th St Austin TX 78703-1437 |
| Practice Telephone | 5124542653 |
| Practice Fax Number | 5124541035 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-05-30 |
| Authorized Official Name | SHARON MOORE (PHARMACIST OWNER) |
| Authorized Official Telephone | 5124542653 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 17520 | TX | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DEA # | BM5234303 | 01 |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4579908 | 01 | |
| TX | 144593 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902932304 | Medicine Shoppe | Pharmacy | 1204 Columbus Ave, Washington Court House, OH 43160-1655 | 2007-02-27 |
| 1831225234 | Medicine Shoppe | Pharmacy | 10056 Saint Charles Rock Rd, Saint Ann, MO 63074-2022 | 2007-02-27 |
| 1427120229 | Medicine Shoppe | Pharmacy | 920 Lawrence Ave, Ellwood City, PA 16117-1850 | 2006-11-15 |
| 1639271059 | Medicine Shoppe | Pharmacy | 4730 Jackson, Alexandria, LA 71303-2000 | 2006-09-05 |
| 1144332149 | Medicine Shoppe | Pharmacy | 600 Park Ln, Park Center Shopping Center, Chillicothe, MO 64601-1566 | 2006-08-31 |
| 1306958319 | Medicine Shoppe | Pharmacy | 68 Fraley St, Kane, PA 16735-1325 | 2006-08-31 |
| 1962514976 | Medicine Shoppe | Pharmacy | 69 N Market St, Nanticoke, PA 18634-1553 | 2006-08-31 |
| 1356453351 | Medicine Shoppe | Pharmacy | 329 E Highway 12, Litchfield, MN 55355-2295 | 2006-08-31 |
| 1538271523 | Medicine Shoppe | Pharmacy | 702 S Del Mar Ave, San Gabriel, CA 91776-2440 | 2006-08-31 |
| 1982716809 | Medicine Shoppe | Pharmacy | 300 W Shaw Ave Ste 114, Clovis, CA 93612-3680 | 2006-08-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEDICINE SHOPPE | 1811 Knoll Dr Ste A, Ventura, CA 93003-7321 |
| Oregon Corporations, Companies and Business Names | MEDICINE SHOPPE | 333 Se 7th Ave Ste 1500, Hillsboro, OR 97123 |
| Ohio Business Entities | MEDICINE SHOPPE INTERNATIONAL, INC. | 1 Rider Trail Plaza Drive, Ste 300, Earth City, MO 63045 |
| New York State Corporations | MEDICINE SHOPPE INTERNATIONAL, INC. | 28 Liberty St., New York, New York 10005 |
| System for Award Management (SAM) Entities | MEDICINE SHOPPE OF NEWTON, IL | 600 W Jourdan St, Newton, IL 62448-1056 |
| Vermont Business Registrations | MEDICINE SHOPPE PHARMACY OF READING | 1170 Perkiomen Avenue, Reading, PA 19602 |
| System for Award Management (SAM) Entities | MEDICINE SHOPPE PHARMACY, THE | 234 W Main St, Bellevue, OH 44811-1330 |
| System for Award Management (SAM) Entities | MEDICINE SHOPPE, THE | 2339 Broadway St, Mount Vernon, IL 62864-2925 |
| Street Address |
1508 W 35TH ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78703-1437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158261 | Kelly Witte | Nurse Practitioner | 501 Hearn Street, Austin, TX 78703 | 2020-09-09 |
| 1053779207 | Bodhi Leaf, Pllc | Social Worker | 1300 West Lynn Drive, Suite 207, Austin, TX 78703 | 2016-02-03 |
| 1073904447 | Danielle Frommer | Behavioral Analyst | 311 Bowie St Apt 1903, Austin, TX 78703 | 2015-02-06 |
| 1437391711 | Brett Douglas Macadam | Radiology | 3112 Windsor Rd #517, Radiology Specialists of Central Texas, Austin, TX 78703 | 2009-04-01 |
| 1184878191 | Albright Medical Associates | Family Medicine | 800 W. 5th St, #201, Austin, TX 78703 | 2008-11-05 |
| 1063616662 | Anna C Bell | Pediatrics | 1912 N. 35th St., Austin, TX 78703 | 2007-06-14 |
| 1447472808 | Austin Wellness Institute | General Practice | 1501 W 5th Street, Suite 109, Austin, TX 78703 | 2007-05-03 |
| 1487871968 | Joni K Wallace | Dentist | 2414 Exposition Blvd, Suite B-105, Austin, TX 78703 | 2007-04-19 |
| 1073631339 | Tays General Dentistry Pa | Dentist | 3404 Kerbey Lane, Austin, TX 78703 | 2007-03-26 |
| 1083758270 | Amy Carlisle Goodwin | Counselor | 2408 Enfield Rd, #213, Austin, TX 78703 | 2007-02-19 |
| Find all providers in zip 78703 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1942817911 | Vivent Pharmacy LLC | Pharmacy | 7215 Cameron Rd Ste B, Austin, TX 78752-2911 | 2020-09-24 |
| 1649885195 | Rocket Pharmacy, Inc. | Pharmacy | 316 W 12th St Ste Ll050, Austin, TX 78701-1815 | 2020-09-11 |
| 1831737642 | Cvs Pharmacy, Inc | Pharmacy | 901 East 5 Th St, Suite 140, Austin, TX 78702-4071 | 2019-12-12 |
| 1972149680 | Capsule Austin LLC | Pharmacy | 210 W 7th St Ste B, Austin, TX 78701-2903 | 2019-11-18 |
| 1427617570 | Shubha LLC | Pharmacy | 1139 W Braker Ln Ste 102, Austin, TX 78758-4113 | 2019-06-12 |
| 1467921668 | Clearview Specialty LLC | Pharmacy | 8101 Cameron Rd Ste 303, Austin, TX 78754-3818 | 2018-11-16 |
| 1639679319 | Randall Legacy Inc | Pharmacy | 8825 Bee Caves Rd Ste A, Austin, TX 78746-4720 | 2018-02-19 |
| 1356863898 | Raiine's Specialty Pharmacy LLC | Pharmacy | 1301 W 38th St Ste 135, Austin, TX 78705-1033 | 2017-07-15 |
| 1811364078 | Peoples Pharmacy | Pharmacy | 5505 W. Parmer Lane, Building 4, At Apple Wellness Center, Austin, TX 78727 | 2015-08-24 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.