Individual provider Active NPI

Gaurav Midha, RPH

  • Pharmacist
  • Galveston, TX
National Provider Identifier
1487958849
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60149532 Issued in WA
Practice address
1020 23Rd St
Galveston, TX 77550-4631
Phone
(409) 877-7029
NPI assigned
Dec 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 52524 TX
Pharmacist 183500000X PH60149532 WA Primary

Addresses

Primary practice location

1020 23Rd St
Galveston, TX 77550-4631

Mailing address

515 N Esplanade St
Cuero, TX 77954-3603
Phone (253) 905-6881

Other practice location 1

515 N Esplanade St
Cuero, TX 77954-3603
Phone (253) 905-6881

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

LicenseStateTypeSpecialty
52524TXMDPharmacist
PH60149532WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Fiesta Lifecare Pharmacy 3 LLC 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": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1487958849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N ESPLANADE ST",
            "city": "CUERO",
            "state": "TX",
            "postal_code": "779543603",
            "telephone_number": "253-905-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 23RD ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775504631",
            "telephone_number": "409-877-7029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 N Esplanade St",
            "address_purpose": "LOCATION",
            "city": "Cuero",
            "state": "TX",
            "postal_code": "779543603",
            "country_code": "US",
            "telephone_number": "253-905-6881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIDHA",
        "first_name": "GAURAV",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-28",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "52524",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60149532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.