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TARRYTOWN PHARMACY
NPI 1265620587
Pharmacy - Community/Retail Pharmacy in Austin, TX

Active since October 11, 2007CLIA 45D2117668 · Waiver
3111 W 35TH ST, AUSTIN, TX 78703(512) 478-6419 Get Directions Write a Review

NPPES record last updated: October 11, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tarrytown Pharmacy NPPES

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

TARRYTOWN PHARMACY (NPI 1265620587) is a healthcare organization registered as a community/retail pharmacy in Austin, Texas and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through August 21, 2026 and lists Mark David Newberry, President, as its authorized official.

NPPES Registry Identity

NPI1265620587
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTARRYTOWN PHARMACY
Location Address3111 W 35TH STAustin, TX 78703-1109
Mailing Address2425 Exposition Blvd Ste DAustin, TX 78703-2262 · (512) 478-6419
Phone(512) 478-6419
Organization SubpartNo
Authorized OfficialMark David NewberryPresident · (512) 478-6419
Enumeration DateOctober 11, 2007
✔ NPI 1265620587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
3111 W 35TH ST, Austin, TX 78703
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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 45D2117668

Tarrytown Pharmacy · Austin, TX
Active · expires Aug 21, 2026
CLIA Number45D2117668
Laboratory TypePharmacy
Certificate Effective DateAugust 22, 2024
Certificate Expiration DateAugust 21, 2026
Laboratory DirectorEllie B. Studdard
Laboratory Phone(512) 478-6419
Laboratory LocationTarrytown Pharmacy2727 Exposition Blvd Ste 105, Austin, TX 78703
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Tarrytown Pharmacy's NPI number?

The NPI number for Tarrytown Pharmacy is 1265620587. It was assigned to this organization in the NPPES registry on October 11, 2007.

Where is Tarrytown Pharmacy located?

Tarrytown Pharmacy is located at 3111 W 35th St, Austin, TX 78703. The listed phone number is (512) 478-6419.

What is Tarrytown Pharmacy's specialty?

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

Does Tarrytown Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2117668) is associated with this NPI, valid through August 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tarrytown Pharmacy was last updated on October 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.