Individual provider Active NPI

Nooshin Bolor, PHARMD

  • Pharmacist
  • Frisco, TX
National Provider Identifier
1235733411
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
39583 Issued in TX
Practice address
5401 Lebanon Rd
Frisco, TX 75034-5150
Phone
(972) 624-8170
NPI assigned
Nov 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 39583 TX Primary

Addresses

Primary practice location

5401 Lebanon Rd
Frisco, TX 75034-5150

Mailing address

5401 Lebanon Rd
Frisco, TX 75034-5150

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Nooshin.Bolor@CVSCaremark.com
Direct Messaging Address Nooshin.Bolor@CVSCaremark.com

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
39583TXMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: nooshin.bolor@cvscaremark.com

NPI Registry JSON

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

{
    "created_epoch": "1606521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1235733411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 LEBANON RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 LEBANON RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345150",
            "telephone_number": "972-624-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLOR",
        "first_name": "NOOSHIN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-28",
        "last_updated": "2020-12-01",
        "certification_date": "2020-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "39583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Nooshin.Bolor@CVSCaremark.com",
            "affiliation": "N",
            "address_1": "5401 Lebanon Rd",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750345150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Nooshin.Bolor@CVSCaremark.com",
            "affiliation": "N",
            "endpointDescription": "CVS Pharmacy",
            "address_1": "5401 Lebanon Rd",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750345150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 1, 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.