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TARRYTOWN PHARMACY LLC NPI 1942384078


NPI Information

NPI: 1942384078
Provider Name: TARRYTOWN PHARMACY LLC

Doing Business As: TARRYTOWN PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2727 EXPOSITION BLVD
STE 105
AUSTIN, TX
ZIP 78703
Phone: (512) 478-6419
Get Directions

TARRYTOWN PHARMACY LLC is a community/retail pharmacy pharmacy in Austin, TX. The provider is 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. TARRYTOWN PHARMACY LLC NPI is 1942384078. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tarrytown Pharmacy.

The provider's business location address is:

2727 EXPOSITION BLVD
STE 105
AUSTIN, TX
ZIP 78703-228
Phone: (512) 478-6419
Fax: (512) 478-1638

The provider's authorized official is Mark Newberry .
The authorized official title is President and has the following contact phone number (512) 478-6419.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 8/31/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WD0400XRegistered NurseDiabetes EducatorNo
2183500000XPharmacistNo
31835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistNo
4261QP2300XClinic/CenterPrimary CareNo
5333600000XPharmacyNo
63336L0003XPharmacyLong Term Care PharmacyNo
73336C0003XPharmacyCommunity/Retail Pharmacy1812TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1110162MEDICAIDTEXAS
22093490OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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