Healthcare Provider Details

I. General information

NPI: 1760394563
Provider Name (Legal Business Name): JUDI RX PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 BRAZOS ST STE 780
AUSTIN TX
78701-2583
US

IV. Provider business mailing address

701 BRAZOS ST STE 780
AUSTIN TX
78701-2583
US

V. Phone/Fax

Practice location:
  • Phone: 512-253-7661
  • Fax: 512-601-0500
Mailing address:
  • Phone: 512-253-7661
  • Fax: 512-601-0500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. ADAM HAIT
Title or Position: PRESIDENT/PHARMACIST IN CHARGE
Credential: RPH
Phone: 512-253-7661