Individual provider Active NPI

Gurtej Pal Singh

  • Pharmacist
  • Nederland, TX
National Provider Identifier
1407560139
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
67803 Issued in TX
Practice address
1505 S Highway 69
Nederland, TX 77627-7807
Phone
(409) 853-4100
NPI assigned
Jan 9, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 67803 TX Primary

Addresses

Primary practice location

1505 S Highway 69
Nederland, TX 77627-7807

Mailing address

2555 95TH St Apt 621
Port Arthur, TX 77640-1591
Phone (832) 709-5574

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

State licenses

LicenseStateTypeSpecialty
67803TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
BCRR RX Inc CurrentSince Jan 15, 2023 Accepting new patients

Locations

1505 S Highway 69
Nederland, TX 77627
Phone (409) 727-4220

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1407560139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 95TH ST APT 621",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776401591",
            "telephone_number": "832-709-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 S HIGHWAY 69",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776277807",
            "telephone_number": "409-853-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "GURTEJ",
        "middle_name": "PAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "67803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.