Active NPI
Naresh Nagjibhai Vagdiya
- Pharmacist
- Lubbock, TX
National Provider Identifier
1154699262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 50917
- Practice address
- 602 Avenue Q
Lubbock, TX 79401-2614 - Phone
- (806) 747-3834
- NPI assigned
- Dec 2, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03470500 | NJ | |
| Pharmacist | 183500000X | 50917 | TX | Primary |
Addresses
Primary practice location
602 Avenue Q
Lubbock, TX 79401-2614
Mailing address
1920 Oak Timber Dr
Bedford, TX 76021-6059
Phone (817) 283-9352
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 |
|---|---|---|---|
| 28RI03470500 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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 and National Provider Directory roles.
-
- Pharmacy
- Longview, TX
- NPI 1629956545
-
- Pharmacy
- Lubbock, TX
- NPI 1952585523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1154699262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 OAK TIMBER DR",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760216059",
"telephone_number": "817-283-9352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 AVENUE Q",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794012614",
"telephone_number": "806-747-3834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAGDIYA",
"first_name": "NARESH",
"middle_name": "NAGJIBHAI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-02",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03470500",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "50917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.