Active NPI
Carrollton Regional Pharmacy
- Community/Retail Pharmacy
- Carrollton, TX
National Provider Identifier
1265866727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150465 | Medicaid | TX |
Other names 1
- FAMILY PHARMACY #2
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220107000508 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 5799176467 | Practice locations: Carrollton, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2256909 | Carrollton Regional Pharmacy | Certificate of waiver | Mar 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Carrollton, TX
- NPI 1790378594
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
- Carrollton Or Surgical Affiliates PLLC
- Carrollton Physical Therapy Clinic, PC.
- Carrollton Podiatrist PLLC
- Carrollton Primary Care Medicine PLLC
- Carrollton Regional Dialysis Center LLC
- Carrollton Springs, LLC
- Carrollton Top Dental PLLC
- Carrollton Vision Associates
- Carrollton Vision Associates, L.L.P.
- Carrollton-Farmers Branch Independent School District
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.