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
- 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Plano, TX
- NPI 1437222759
-
- Community/Retail Pharmacy
- Fort Worth, TX
- NPI 1407747439
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.