Individual provider Active NPI

Ramachandra Maruri

  • Pharmacist
  • Frisco, TX
National Provider Identifier
1194328153
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
45071 Issued in TX
Practice address
360 Stonebrook Pkwy Ste 112a
Frisco, TX 75036-5317
Phone
(214) 296-0040
Fax
(214) 960-2575
NPI assigned
Nov 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 45071 TX Primary

Addresses

Primary practice location

360 Stonebrook Pkwy Ste 112a
Frisco, TX 75036-5317

Mailing address

9615 Arctic Dr
Frisco, TX 75035-5017

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

LicenseStateTypeSpecialty
45071TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neo Texas LLC CurrentSince Apr 21, 2024 Accepting new patients
CVS Pharmacy Inc PastSince Nov 1, 2020 Accepting new patients

Locations

360 Stonebrook Pkwy
Ste 112A
Frisco, TX 75036
Phone (214) 296-0040

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.

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1194328153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9615 ARCTIC DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 STONEBROOK PKWY STE 112A",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750365317",
            "telephone_number": "214-296-0040",
            "fax_number": "214-960-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARURI",
        "first_name": "RAMACHANDRA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-20",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "45071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.