VICTORY MEDICAL CENTER PHARMACY
NPI 1073236139
Pharmacy - Community/Retail Pharmacy in Austin, TX

Active since September 23, 2022CLIA 45D2047142 · Waiver
4303 VICTORY DR, AUSTIN, TX 78704(512) 279-0985(512) 279-0471 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 25, 2023, Jan 9, 2023, Sep 23, 2022 (3 updates tracked since 2022).

About Victory Medical Center Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTORY MEDICAL CENTER PHARMACY (NPI 1073236139) is a healthcare organization registered as a community/retail pharmacy in Austin, Texas and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through September 18, 2026 and lists Sharon Holle, Cfo, as its authorized official.

NPPES Registry Identity

NPI1073236139
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameVICTORY MEDICAL CENTER PHARMACY
Location Address4303 VICTORY DRAustin, TX 78704-7507
Mailing Address4303 Victory DrAustin, TX 78704-7507 · (512) 279-0985 · Fax (512) 279-0471
Fax(512) 279-0471
Organization SubpartNo
Authorized OfficialSharon HolleCfo · (512) 462-3627
Enumeration DateSeptember 23, 2022
Last NPPES UpdateJanuary 25, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2023
NPI 1073236139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition

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.

Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
4303 VICTORY DR, Austin, TX 78704

Other Names 1

Doing Business AsVictory Medical Center Pharmacy

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2047142

Value Oriented Medical Clinic Dba Victory Medical · West Lake Hills, TX
Active · expires Sep 18, 2026
CLIA Number45D2047142
Laboratory TypePhysician Office
Certificate Effective DateSeptember 19, 2024
Certificate Expiration DateSeptember 18, 2026
Laboratory DirectorWilliam G. Franklin
Laboratory Phone(512) 462-3627
Laboratory LocationValue Oriented Medical Clinic Dba Victory Medical3811 Bee Caves Rd Suite 101, West Lake Hills, TX 78746
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
4303 VICTORY DR
AUSTIN, TX 78704
Family Medicine
4303 VICTORY DR
AUSTIN, TX 78704
Nurse Practitioner (Family)
4303 VICTORY DR
AUSTIN, TX 78704
Physical Therapist
4303 VICTORY DR
AUSTIN, TX 78704
Family Medicine
4303 VICTORY DR
AUSTIN, TX 78704
Allergy & Immunology
4303 VICTORY DR
AUSTIN, TX 78704
Physician Assistant
4303 VICTORY DR
AUSTIN, TX 78704
Physician Assistant
4303 VICTORY DR
AUSTIN, TX 78704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victory Medical Center Pharmacy's NPI number?

The NPI number for Victory Medical Center Pharmacy is 1073236139. It was assigned to this organization in the NPPES registry on September 23, 2022.

Where is Victory Medical Center Pharmacy located?

Victory Medical Center Pharmacy is located at 4303 Victory Dr, Austin, TX 78704. The listed phone number is (512) 279-0985.

What is Victory Medical Center Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Victory Medical Center Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2047142) is associated with this NPI, valid through September 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Victory Medical Center Pharmacy accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 54 other insurers list Victory Medical Center Pharmacy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Victory Medical Center Pharmacy was last updated on January 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.