Unknown Individual – Pharmacist, NPI 1083943609

Unknown Individual is a healthcare provider. based in Lakeway, Texas. specializing in Pharmacist. They hold a License No. 40567 (TX). The NPI Number for Unknown Individual is 1083943609

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1083943609
Phone
Not provided
Address
2401 RANCH ROAD 620 S
Deactivation Date
9 April 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Walgreens, 2401, Ranch Road 620 South, Lakeway, Travis County, Texas, 78734, United States

    LAKEWAY, TX 787385603

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78738)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1083943609.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Pharmacist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Lakeway, Texas may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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