TARRYTOWN PHARMACY LLC (NPI# 1942384078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942384078 |
| Entity Type | Organization |
| Organization Name | TARRYTOWN PHARMACY LLC |
| Other Organization Name | TARRYTOWN PHARMACY |
| Practice Address |
2727 Exposition Blvd Ste 105 Austin TX 78703-1228 |
| Practice Telephone | 5124786419 |
| Practice Fax Number | 5124781638 |
| Mailing Telephone | 5124786419 |
| Mailing Fax Number | 5124781638 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-05-12 |
| Authorized Official Name | MARK NEWBERRY (PRESIDENT) |
| Authorized Official Telephone | 5124786419 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1812 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2093490 | 01 | |
| TX | 110162 | 05 |
| Other Name | Type Code |
|---|---|
| TARRYTOWN PHARMACY | Doing Business As Name - Organization |
| Street Address |
2727 EXPOSITION BLVD STE 105 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78703-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093348930 | Ellie Studdard | Pharmacist | 2727 Exposition Blvd, Austin, TX 78703-1228 | 2020-02-19 |
| 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.