Organization Active NPI

Carrollton Regional Pharmacy

  • Community/Retail Pharmacy
  • Carrollton, TX
National Provider Identifier
1265866727
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CARROLLTON REGIONAL PHARMACY
Practice address
4323 N Josey LN Ste 102
Carrollton, TX 75010-4630
Phone
(469) 896-1777
Fax
(469) 896-2777
NPI assigned
Sep 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
Vipulbhai Sakhiya
Title
President
Phone
(469) 896-1777

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

4323 N Josey LN Ste 102
Carrollton, TX 75010-4630

Mailing address

4323 N Josey LN Ste 102
Carrollton, TX 75010-4630
Phone (694) 896-1777

Other identifiers 1

IdentifierTypeStateIssuer
150465MedicaidTX

Other names 1

  • FAMILY PHARMACY #2 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220107000508 TX Part B Supplier - Mass Immunization (Roster Biller Only) 5799176467 Practice locations: Carrollton, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2256909Carrollton Regional Pharmacy4323 N Josey LN #102, Carrollton, TX 75010Certificate of waiverMar 28, 2028

National Provider Directory

National Provider Directory

Locations

4323 N Josey Ln
Ste 102
Carrollton, TX 75010
Phone (469) 896-1777

4090 Mapleshade Ln
Ste 110
Plano, TX 75093
Phone (469) 649-7007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1265866727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 N JOSEY LN STE 102",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104630",
            "telephone_number": "694-896-1777",
            "fax_number": "469-896-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 N JOSEY LN STE 102",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104630",
            "telephone_number": "469-896-1777",
            "fax_number": "469-896-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLLTON REGIONAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-02",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "SAKHIYA",
        "authorized_official_first_name": "VIPULBHAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-896-1777"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150465",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY PHARMACY #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.