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STONEGATE PHARMACY LP NPI 1578505145


NPI Information

NPI: 1578505145
Provider Name: STONEGATE PHARMACY LP

Doing Business As: STONEGATE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 45D1073188

Address:
2501 W WILLIAM CANNON DR
BLDG 2 STE 203
AUSTIN, TX
ZIP 78745
Phone: (512) 707-2300
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STONEGATE PHARMACY LP 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. STONEGATE PHARMACY LP NPI is 1578505145. The provider is registered as an organization entity type.
The provider Is Doing Business As Stonegate Pharmacy.

The provider's business location address is:

2501 W WILLIAM CANNON DR
BLDG 2 STE 203
AUSTIN, TX
ZIP 78745-281
Phone: (512) 707-2300
Fax: (512) 707-2378

The provider's authorized official is Rene Garza .
The authorized official title is Owner/pharmacist and has the following contact phone number (512) 707-2300.

The CLIA number assigned to this NPI record is 45D1073188 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 5/17/2016.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0004XPharmacyCompounding PharmacyNo
3333600000XPharmacyNo
43336L0003XPharmacyLong Term Care PharmacyNo
53336C0003XPharmacyCommunity/Retail Pharmacy24369TEXASYes

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
12098761OTHERPK
2145652MEDICAIDTEXAS
35840160001MEDICARE NSC

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.