NPIMap

Organization Active NPI

Medi-Health Pharmacy Group LLC

Doing business as Keller Pharmacy

  • Community/Retail Pharmacy
  • Keller, TX
National Provider Identifier
1275815334
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
27642 Issued in TX
Legal business name
MEDI-HEALTH PHARMACY GROUP LLC
Doing business as
Keller Pharmacy
Practice address
1200 Keller Pkwy Ste 200
Keller, TX 76248-3615
Phone
(682) 593-0461
Fax
(682) 593-0460
NPI assigned
Sep 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Authorized official

Name
Nirav Patel
Title
Pharmacist-in-Charge
Phone
(973) 698-0143

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 27642 TX Primary

Addresses

Primary practice location

1200 Keller Pkwy Ste 200
Keller, TX 76248-3615

Mailing address

1200 Keller Pkwy
Suite 200
Keller, TX 76248-3615
Phone (682) 593-0461

Other identifiers 1

IdentifierTypeStateIssuer
5904049OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Keller Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1200 Keller Pkwy
Ste 200
Keller, TX 76248
Phone (682) 593-0461

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1275815334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 KELLER PKWY",
            "address_2": "SUITE 200",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483615",
            "telephone_number": "682-593-0461",
            "fax_number": "682-593-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 KELLER PKWY STE 200",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483615",
            "telephone_number": "682-593-0461",
            "fax_number": "682-593-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-HEALTH PHARMACY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIRAV",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "973-698-0143"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "27642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5904049",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keller Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.