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TARRYTOWN PHARMACY LLC
NPI 1598497166
Pharmacy - Long Term Care Pharmacy in Austin, TX

Active since June 30, 2022CLIA 45D2117668 · Waiver
2727 EXPOSITION BLVD STE 105, AUSTIN, TX 78703(512) 478-6419(512) 478-1638 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Tarrytown Pharmacy Llc NPPES

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

TARRYTOWN PHARMACY LLC (NPI 1598497166), doing business as Tarrytown Pharmacy, is a healthcare organization registered as a long term care pharmacy in Austin, Texas and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through August 21, 2028 and lists Rannon Ching, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1598497166
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameTARRYTOWN PHARMACY LLC
Location Address2727 EXPOSITION BLVD STE 105Austin, TX 78703-1227
Mailing Address2727 Exposition Blvd Ste 105Austin, TX 78703-1227 · (512) 478-6419 · Fax (512) 478-1638
Phone(512) 478-6419
Fax(512) 478-1638
Organization SubpartNo
Authorized OfficialRannon ChingPharmacist In Charge · (512) 478-6419
Enumeration DateJune 30, 2022
NPPES CertifiedJune 22, 2022
✔ NPI 1598497166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
2727 EXPOSITION BLVD STE 105, Austin, TX 78703
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Other Names 1

Doing Business AsTarrytown Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and more.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 45D2117668

Tarrytown Pharmacy · Austin, TX
Active · expires Aug 21, 2028
CLIA Number45D2117668
Laboratory TypePharmacy
Certificate Effective DateAugust 22, 2026
Certificate Expiration DateAugust 21, 2028
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: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

DR. DELONG BAO PHARM.D.
Pharmacist
2727 EXPOSITION BLVD STE 105
AUSTIN, TX 78703
Travis County (512) 478-6419
JING WANG
Pharmacist
2727 EXPOSITION BLVD STE 105
AUSTIN, TX 78703
Travis County (512) 229-0447
ANTONIO FULLER CURRIE PHARMD
Pharmacist
2727 EXPOSITION BLVD STE 105
AUSTIN, TX 78703
Travis County (205) 427-3503
JAMES CONG
Pharmacist
2727 EXPOSITION BLVD STE 105
AUSTIN, TX 78703
Travis County (512) 478-6419
URVASHI MUKHI
Pharmacist
2727 EXPOSITION BLVD STE 105
AUSTIN, TX 78703
Travis County (512) 478-6419
JESSICA FRASIER PHARMD
Registered Nurse (Diabetes Educator)
2727 EXPOSITION BLVD STE 105
AUSTIN, TX 78703
Travis County (512) 478-6419
SETH MICHAEL BELTRAN
Pharmacist
2727 EXPOSITION BLVD STE 105
AUSTIN, TX 78703
Travis County (512) 478-6419
MADISON ELIZABETH TAFF PHARMD
Pharmacist
2727 EXPOSITION BLVD STE 105
AUSTIN, TX 78703
Travis County (706) 905-0054

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 LLC's NPI number?

The NPI number for Tarrytown Pharmacy LLC is 1598497166. It was assigned to this organization in the NPPES registry on June 30, 2022. The provider is doing business as Tarrytown Pharmacy.

Where is Tarrytown Pharmacy LLC located?

Tarrytown Pharmacy LLC is located at 2727 Exposition Blvd Ste 105, Austin, TX 78703. The listed phone number is (512) 478-6419.

What is Tarrytown Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Tarrytown Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2117668) is associated with this NPI, valid through August 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tarrytown Pharmacy LLC accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 14 other insurers list Tarrytown Pharmacy LLC 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 Tarrytown Pharmacy LLC was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.