Agish Kovoor, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

39076 Issued in TX

Practice address

3400 FM 407 E
Bartonville, TX 76226

Phone

(940) 294-8332

NPI assigned

Oct 19, 2020

Last updated

Oct 19, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Kroger Texas LP

  dba Kroger Pharmacy #541

  • Community/Retail Pharmacy
  • Fort Worth, TX
  • NPI 1407747439
  NPD (past)

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1154920478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 FM 407 E",
            "city": "BARTONVILLE",
            "state": "TX",
            "postal_code": "762269707",
            "telephone_number": "940-294-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 FM 407 E",
            "city": "BARTONVILLE",
            "state": "TX",
            "postal_code": "76226",
            "telephone_number": "940-294-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVOOR",
        "first_name": "AGISH",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "39076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ida Gail Herrera, NP
• Mindy B Howard, LMFTA
• J Gregory McCray DO PA (Bartonville Family Medical)
• Shameela Keshavjee, MS, LMFT-S
• Callie Kirby, APRN, FNP
• Kroger Texas LP (Kroger Pharmacy #572)
• David Tuan Le
• George Robert Marye III, DDS
• John Gregory McCray, D.O.
• Danny McCutchan, MS, LPC-ASSOCIATE

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Bartonville, TX
• Providers in Bartonville, TX by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.

Verify at the official NPI Registry.