Individual provider Active NPI

Kunal Nagarsheth, PHARMD

  • Pharmacist
  • Georgetown, TX
National Provider Identifier
1245678283
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
45358 Issued in TX
Practice address
2411 Williams Dr Ste 3
Georgetown, TX 78628
Phone
(512) 820-0101
Fax
(512) 820-1244
NPI assigned
Jun 12, 2013
Last updated
Jun 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 45358 TX Primary

Addresses

Primary practice location

2411 Williams Dr Ste 3
Georgetown, TX 78628

Mailing address

2411 Williams Dr Ste 3
Georgetown, TX 78628-3261
Phone (512) 820-0101

Other practice location 1

3030 Canal St
Houston, TX 77003-1627
Phone (713) 237-9301

Other identifiers 1

IdentifierTypeStateIssuer
45853OtherTXTSBP LICENSE

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
45358TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
NT Health Services LLC Current Accepting new patients
Khem Labs LLC Current Accepting new patients
Amex Pharmacy Inc Past Accepting new patients

Locations

2411 Williams Dr
Ste 3
Georgetown, TX 78628
Phone (512) 661-8521

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1245678283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 WILLIAMS DR STE 3",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283261",
            "telephone_number": "512-820-0101",
            "fax_number": "512-820-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 WILLIAMS DR STE 3",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78628",
            "telephone_number": "512-820-0101",
            "fax_number": "512-820-1244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3030 Canal St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770031627",
            "country_code": "US",
            "telephone_number": "713-237-9301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGARSHETH",
        "first_name": "KUNAL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "45358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TSBP LICENSE",
            "identifier": "45853",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.