TARRYTOWN PHARMACY (NPI# 1972133544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972133544 |
| Entity Type | Organization |
| Organization Name | TARRYTOWN PHARMACY |
| Practice Address |
2727 Exposition Blvd Ste 105 Austin TX 78703-1227 |
| Practice Telephone | 5124786419 |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |
| Authorized Official Name | MARK D NEWBERRY (OWNER) |
| Authorized Official Telephone | 5124786419 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265620587 | Tarrytown Pharmacy | Pharmacy | 3111 W 35th St, Austin, TX 78703-1109 | 2007-10-11 |
| Street Address |
2727 EXPOSITION BLVD STE 105 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78703-1227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730675430 | Rannon Ching | Pharmacist | 2727 Exposition Blvd Ste 105, Austin, TX 78703-1227 | 2018-07-05 |
| 1114578804 | Delong Bao | Pharmacist | 2727 Exposition Blvd Ste 105, Austin, TX 78703-1227 | 2019-09-24 |
| 1366097768 | James Cong | Pharmacist | 2727 Exposition Blvd Ste 105, Austin, TX 78703-1227 | 2019-08-03 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043704620 | Lankford Md Pllc | Clinic/Center | 3117 Wild Canyon Loop, Austin, TX 78732-1948 | 2018-06-18 |
| 1255885745 | Pediaq LLC | Clinic/Center | 10413 Walpole Ln, Austin, TX 78739-1553 | 2016-08-12 |
| 1861812547 | Hill Family Medicine & Skin Care Pa | Clinic/Center | 11420 Bee Cave Rd, Ste A150, Austin, TX 78738 | 2014-04-22 |
| 1780987347 | Tony Dang M.d., P.a. | Clinic/Center | 14019 Lakeview Dr, Austin, TX 78732-1048 | 2010-12-20 |
| 1962689950 | E David Pampe, M.d. | Clinic/Center | 6012 West William Cannon Dr Ste D101, Austin, TX 78749-1979 | 2008-01-22 |
| 1841476272 | Kids Choice P.a. | Clinic/Center | 2113 Wells Branch Pkwy, Suite 1200, Austin, TX 78728-6970 | 2008-01-16 |
| 1851519326 | Access Co-medical Clinic | Clinic/Center | 2919 Manchaca Rd Ste 100-a, Austin, TX 78704-4817 | 2007-04-23 |
| 1467581900 | Enrique Antonio Martinez | Clinic/Center | 809 Lydia St, Austin, TX 78702-2622 | 2007-03-02 |
| 1477661155 | Kevin P. Spencer, Md, Pa | Clinic/Center | 8100 Cobblestone, Austin, TX 78735-7902 | 2006-08-25 |
| 1154960102 | Remedy Clinics of Texas Pa | Clinic/Center | 851 W 6th St, Austin, TX 78703-5403 | 2019-12-22 |
| 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.