Individual provider Active NPI

Radhika D Inaganti

  • Pharmacist
  • Mesquite, TX
National Provider Identifier
1447987979
Registry record updated Jun 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
54702 Issued in TX
Practice address
1015 N Town East Blvd
Mesquite, TX 75150-4601
Phone
(972) 686-8913
NPI assigned
Aug 4, 2022
Last updated
Jun 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 54702 TX Primary

Addresses

Primary practice location

1015 N Town East Blvd
Mesquite, TX 75150-4601

Mailing address

1015 N Town East Blvd
Mesquite, TX 75150-4601
Phone (972) 686-8729

Other practice location 1

3600 Conflans Rd # 210
Irving, TX 75061-6324
Phone (469) 340-4030

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
54702TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Txpharmacists LLC CurrentSince Apr 6, 2023 Accepting new patients
Walgreen Co PastSince Jul 7, 2024 Accepting new patients
Txpharmacists LLC PastSince Aug 1, 2022 Accepting new patients
Walgreen Co PastSince Jul 7, 2024 Accepting new patients

Locations

3600 Conflans Rd
#210
Irving, TX 75061
Phone (469) 340-4030

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": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719705600000",
    "number": "1447987979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 N TOWN EAST BLVD",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504601",
            "telephone_number": "972-686-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 N TOWN EAST BLVD",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504601",
            "telephone_number": "972-686-8913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Conflans Rd # 210",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750616324",
            "country_code": "US",
            "telephone_number": "469-340-4030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INAGANTI",
        "first_name": "RADHIKA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2024-06-30",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "54702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2024; 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.