Organization Active NPI

Innovia RX LLC

Doing business as Health Rx Specialty Pharmacy

  • Community/Retail Pharmacy
  • Coppell, TX
National Provider Identifier
1225568058
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
INNOVIA RX LLC
Doing business as
Health Rx Specialty Pharmacy
Practice address
580 S Denton Tap Rd Ste 295
Coppell, TX 75019-4098
Phone
(469) 830-7400
Fax
(469) 830-7401
NPI assigned
Jun 14, 2017
Last updated
Jan 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Nilima Patel, RPHNPI 1649543315
Title
Pharmacy Manager/Owner
Phone
(214) 843-4727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

580 S Denton Tap Rd Ste 295
Coppell, TX 75019-4098

Mailing address

624 Terrace St
Coppell, TX 75019-2021
Phone (214) 843-4727

Other identifiers 2

IdentifierTypeStateIssuer
150366MedicaidTX
33569OtherTXSTATE PHARMACY LICENSE

Other names 1

  • Health Rx Specialty Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

580 S Denton Tap Rd
Ste 120
Coppell, TX 75019
Phone (214) 843-4727

580 S Denton Tap Rd
Ste 295
Coppell, TX 75019
Phone (469) 830-7400

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": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1225568058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 TERRACE ST",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192021",
            "telephone_number": "214-843-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 S DENTON TAP RD STE 295",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194098",
            "telephone_number": "469-830-7400",
            "fax_number": "469-830-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVIA RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NILIMA",
        "authorized_official_title_or_position": "PHARMACY MANAGER/OWNER",
        "authorized_official_telephone_number": "214-843-4727",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150366",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "33569",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Rx Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.