Active NPI
Jairam Gorle, RPH
- Pharmacist
- Prosper, TX
National Provider Identifier
1407183387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 46979
- Practice address
- 1000 N Preston Rd Ste 10
Prosper, TX 75078-8890 - Phone
- (214) 338-4010
- NPI assigned
- Nov 12, 2009
- Last updated
- Aug 24, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 46979 | TX | Primary |
Addresses
Primary practice location
1000 N Preston Rd Ste 10
Prosper, TX 75078-8890
Mailing address
14805 Holly Tree LN
Frisco, TX 75035-0176
Phone (832) 439-5325
Other practice location 1
401 N Galloway Ave
Mesquite, TX 75149-4327
Phone (972) 329-7440
Other practice location 2
14805 Holly Tree Ln
Frisco, TX 75035-0176
Phone (832) 439-5325
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46979 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Prosper Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 4
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": "1257984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1407183387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14805 HOLLY TREE LN",
"city": "FRISCO",
"state": "TX",
"postal_code": "750350176",
"telephone_number": "832-439-5325",
"fax_number": "972-329-8275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N PRESTON RD STE 10",
"city": "PROSPER",
"state": "TX",
"postal_code": "750788890",
"telephone_number": "214-338-4010"
}
],
"practiceLocations": [
{
"address_1": "401 N Galloway Ave",
"address_purpose": "LOCATION",
"city": "Mesquite",
"state": "TX",
"postal_code": "751494327",
"country_code": "US",
"telephone_number": "972-329-7440",
"fax_number": "972-329-8275",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14805 Holly Tree Ln",
"address_purpose": "LOCATION",
"city": "Frisco",
"state": "TX",
"postal_code": "750350176",
"country_code": "US",
"telephone_number": "832-439-5325",
"fax_number": "972-329-8275",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORLE",
"first_name": "JAIRAM",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-12",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "46979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prosper, TX
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- Rochell Gonzalez
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- Goodm Samaritan Rides
- Kristi K Goodson, MD
- Suhani Gosalia
- Clarissa V Gotcher, MS, CCC-SLP
- Graceful Haven Behavioral Health and Wellness LLC
- Graceful Haven Behavioral Health and Wellness LLC
- Graceville Pediatrics, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.