Active NPI
Armin Roshan
- Pharmacist
- Pflugerville, TX
National Provider Identifier
1013542133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 63966
- Practice address
- 1615 Grand Avenue Pkwy Ste 104
Pflugerville, TX 78660-2060 - Phone
- (512) 377-1999
- NPI assigned
- Mar 9, 2020
- Last updated
- Mar 9, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 63966 | TX | Primary |
Addresses
Primary practice location
1615 Grand Avenue Pkwy Ste 104
Pflugerville, TX 78660-2060
Mailing address
11507 Hare TRL
Austin, TX 78726-1822
Phone (512) 331-6615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63966 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adlakha Investments Inc | Past | Accepting new patients | |
| Grand Ave Pharmacy | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Grand Avenue Pharmacy
- Community/Retail Pharmacy
- Pflugerville, TX
- NPI 1134556756
-
- Community/Retail Pharmacy
- Pflugerville, TX
- NPI 1972912418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1013542133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11507 HARE TRL",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787261822",
"telephone_number": "512-331-6615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 GRAND AVENUE PKWY STE 104",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786602060",
"telephone_number": "512-377-1999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSHAN",
"first_name": "ARMIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-09",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "63966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pflugerville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.