Organization Active NPI

CRB Healthcare Group Inc

Doing business as Star Care Pharmacy

  • Pharmacy
  • Prosper, TX
National Provider Identifier
1073996922
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
CRB HEALTHCARE GROUP INC
Doing business as
Star Care Pharmacy
Practice address
210 S Preston Rd Ste 50
Prosper, TX 75078-2780
Phone
(972) 347-6331
Fax
(972) 347-6332
NPI assigned
Jul 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Varsha Deshmukh
Title
President
Phone
(972) 347-6331

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X 30067 TX
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

210 S Preston Rd Ste 50
Prosper, TX 75078-2780

Mailing address

210 S Preston Rd Ste 50
Prosper, TX 75078-2780
Phone (972) 347-6331

Other identifiers 1

IdentifierTypeStateIssuer
2152884OtherPK

Other names 1

  • Star Care Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151001001494 TX Part B Supplier - Mass Immunization (Roster Biller Only) 4486962016 Practice locations: Prosper, TX

National Provider Directory

National Provider Directory

Locations

321 N Preston Rd
Ste B
Prosper, TX 75078
Phone (972) 347-6331

210 S Preston Rd
Ste 50
Prosper, TX 75078
Phone (972) 347-6331

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1073996922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S PRESTON RD STE 50",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782780",
            "telephone_number": "972-347-6331",
            "fax_number": "972-347-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S PRESTON RD STE 50",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782780",
            "telephone_number": "972-347-6331",
            "fax_number": "972-347-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRB HEALTHCARE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2024-05-15",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "DESHMUKH",
        "authorized_official_first_name": "VARSHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-347-6331"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30067",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152884",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Star Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.