Active NPI
Khyati Undavia
- Pharmacist
- Houston, TX
National Provider Identifier
1245696830
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Apr 20, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 36097
- Practice address
- 710 Pinehaven Dr
Houston, TX 77024-3731 - Phone
- (713) 256-0747
- NPI assigned
- Jan 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 36097 | TX | Primary |
Addresses
Primary practice location
710 Pinehaven Dr
Houston, TX 77024-3731
Mailing address
710 Pinehaven Dr
Houston, TX 77024-3731
Phone (713) 256-0747
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452556800000",
"number": "1245696830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 PINEHAVEN DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770243731",
"telephone_number": "713-256-0747",
"fax_number": "713-490-5538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 PINEHAVEN DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770243731",
"telephone_number": "713-256-0747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDAVIA",
"first_name": "KHYATI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-12",
"last_updated": "2016-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "36097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
- Unbound Psychological and Consulting Services, PLLC
- Uncharted Territory Mental Health PLLC
- Unconditional Care Services
- Unconditional Recovery Services LLC
- Unconscious Beaute Studio LLC
- Under Elonda' S Care LLC
- Ashton Marie Underbrink, PA-C
- Michael Preston Underbrink, MD
- Carol Jean Underwood, BSN RN CCRC
- Londen C Underwood
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.