Maha Kali Naga Balaji LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

29345 Issued in TX

Legal business name

MAHA KALI NAGA BALAJI LLC

Doing business as

FORNEY PHARMACY

Practice address

13601 Preston Rd Ste 720E
Dallas, TX 75240-4920

Phone

(972) 552-2666

Fax

(972) 552-2675

NPI assigned

Jul 13, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nizar Alikhan

Title

Credentialing Contact

Phone

(972) 552-2666

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• FORNEY PHARMACY Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1043627938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13601 PRESTON RD",
            "address_2": "SUITE 720E",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404911",
            "telephone_number": "972-552-2666",
            "fax_number": "972-552-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13601 PRESTON RD STE 720E",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404920",
            "telephone_number": "972-552-2666",
            "fax_number": "972-552-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHA KALI NAGA BALAJI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-13",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "ALIKHAN",
        "authorized_official_first_name": "NIZAR",
        "authorized_official_title_or_position": "CREDENTIALING CONTACT",
        "authorized_official_telephone_number": "972-552-2666"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146856",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FORNEY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tswelelo Roselyn Magosi, LPC
• Robert Christian Magruder, MS, ATC, LAT
• Corrie J Maguire
• Jennifer Kate Maguire, BDS
• Jesse Daniel Maguire, MD
• Nicholas Wayne Mahaffey, PT, DPT
• Stephanie Marie Mahaffey, PHARMD
• Pavan Mahakala
• Antra Mahaldar, MD
• Shruti Mahale

• Community/Retail Pharmacy in Dallas, TX
• Providers in Dallas, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.