Active NPI
Roxanna Mehryari, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Plano, TX
National Provider Identifier
1295399855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 66024
- Practice address
- 7100 Independence Pkwy
Plano, TX 75025-5755 - Phone
- (972) 491-2596
- NPI assigned
- Apr 29, 2019
- Last updated
- Nov 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PR69129 | ME | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 66024 | TX | Primary |
Addresses
Primary practice location
7100 Independence Pkwy
Plano, TX 75025-5755
Mailing address
7100 Independence Pkwy
Plano, TX 75025-5755
Phone (631) 220-2750
Other practice location 1
33 Depot Rd
Falmouth, ME 04105-1715
Phone (207) 781-4414
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66024 | TX | MD | Professional Counselor |
| PR69129 | ME | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Texas LP | Past | Accepting new patients | |
| Kroger Texas L P | Past | Accepting new patients |
Organizations & group practices 2
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": "1556496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1295399855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7100 INDEPENDENCE PKWY",
"city": "PLANO",
"state": "TX",
"postal_code": "750255755",
"telephone_number": "631-220-2750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 INDEPENDENCE PKWY",
"city": "PLANO",
"state": "TX",
"postal_code": "750255755",
"telephone_number": "972-491-2596"
}
],
"practiceLocations": [
{
"address_1": "33 Depot Rd",
"address_purpose": "LOCATION",
"city": "Falmouth",
"state": "ME",
"postal_code": "041051715",
"country_code": "US",
"telephone_number": "207-781-4414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHRYARI",
"first_name": "ROXANNA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-29",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR69129",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "TX",
"license": "66024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.