Organization Active NPI

Shiloh Pharmacy Inc.

  • Pharmacy
  • Garland, TX
National Provider Identifier
1245854645
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SHILOH PHARMACY INC.
Practice address
3035 S Shiloh Rd Ste 150
Garland, TX 75041-2497
Phone
(469) 855-0294
NPI assigned
Jun 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Authorized official

Name
Sunil Patel
Title
Ceo
Phone
(469) 855-0294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

3035 S Shiloh Rd Ste 150
Garland, TX 75041-2497

Mailing address

3035 S Shiloh Rd Ste 150
Garland, TX 75041-2497
Phone (469) 855-0294

Other identifiers 1

IdentifierTypeStateIssuer
33257OtherTXTEXAS STATE BOARD OF PHARMACY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201102000988 TX Part B Supplier - Pharmacy 2769892819 Practice locations: Garland, TX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590969600000",
    "number": "1245854645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 S SHILOH RD STE 150",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750412497",
            "telephone_number": "469-855-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 S SHILOH RD STE 150",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750412497",
            "telephone_number": "469-855-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILOH PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-855-0294"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY",
            "identifier": "33257",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.