Pharmara Labs LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

PHARMARA LABS LLC

Doing business as

Formulation Compounding Center

Practice address

1511 Justin Rd Ste 106a
Lewisville, TX 75077-2196

Phone

(469) 946-6690

Fax

(469) 946-6691

NPI assigned

Sep 4, 2020

Last updated

Oct 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tabraiz M Khan, PHARMDNPI 1801176482

Title

Manager

Phone

(908) 797-2080

Specialties & licenses 1

Addresses

Other names 1

• Formulation Compounding Center Doing business as

Locations

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.

• Tabraiz M Khan, PHARMD.

  • Pharmacist
  • McKinney, TX
  • NPI 1801176482
  Authorized official Same address or phone

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1194339341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 JUSTIN RD STE 106A",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750772196",
            "telephone_number": "469-946-6690",
            "fax_number": "469-946-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 JUSTIN RD STE 106A",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750772196",
            "telephone_number": "469-946-6690",
            "fax_number": "469-946-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMARA LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "TABRAIZ",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "908-797-2080",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Formulation Compounding Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Formulation Compounding Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nikki Minh Pham, PT
• Tiffany Lan Pham
• Tony Pham, RPH
• Trinh L. Pham, NP-C
• Cindy Phan
• Gibi Philip
• Justin Philip, DMD
• Sindhu E Philip, DO
• Ron Philipose, FNP
• Phillip F Sehnert DDS PA

• Compounding Pharmacy in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Compounding Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.