Provider Demographics
NPI:1427346253
Name:AUSTIN, CHRISTY MICHELLE (PHARMD, BCPS)
Entity type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:MICHELLE
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13800 VETERANS WAY
Mailing Address - Street 2:PHARMACY (119)
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827
Mailing Address - Country:US
Mailing Address - Phone:407-631-1930
Mailing Address - Fax:407-631-1990
Practice Address - Street 1:13800 VETERANS WAY
Practice Address - Street 2:PHARMACY (119)
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-7401
Practice Address - Country:US
Practice Address - Phone:407-631-1930
Practice Address - Fax:407-631-1990
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-14
Last Update Date:2020-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS476581835P1200X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist