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
- Last updated
- 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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36097 | TX | MD | Clinical Social Worker |
Organizations & group practices 1
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": "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 (Uncharted Territory Mental Health Services)
- Unconditional Care Services
- Unconditional Recovery Services LLC (Outpatient Houston)
- Unconscious Beaute Studio LLC
- Under Elonda' S Care LLC (Under Elonda' s Care)
- 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.