Active NPI
Burooj Mushtaq Ilyas, PHARMD
- Pharmacist
- Dallas, TX
National Provider Identifier
1487378626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69559
- Practice address
- 9390 Forest LN
Dallas, TX 75243-4214 - Phone
- (214) 341-3600
- NPI assigned
- Sep 30, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 69559 | TX | Primary |
Addresses
Primary practice location
9390 Forest LN
Dallas, TX 75243-4214
Mailing address
6500 Excellence Way Apt 4072
Plano, TX 75023-1273
Phone (508) 558-8507
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 |
|---|---|---|---|
| 69559 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients |
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": "1664496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664496000000",
"number": "1487378626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 EXCELLENCE WAY APT 4072",
"city": "PLANO",
"state": "TX",
"postal_code": "750231273",
"telephone_number": "508-558-8507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9390 FOREST LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752434214",
"telephone_number": "214-341-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILYAS",
"first_name": "BUROOJ",
"middle_name": "MUSHTAQ",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-30",
"last_updated": "2022-09-30",
"certification_date": "2022-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "69559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
- Illuminated Direction LLC
- Illuminated Hope Counseling & Consulting, PLLC
- Amarachi Ilokwu, PHARMD
- Ijeudo Ilokwu, DDS
- Ngozi Mary Ilondior, DNP, APRN, AGACNP-BC
- Benjamin Hyunjong Im, MD
- Yong Chol Im, OD
- Yunhee Im, MD
- Anita Oghogho Imadomwanyi, D.D.S.
- Imadulation International, LP (The Stress & Happiness Cntr of Dallas)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.