Individual provider Active NPI

Devendra Kumar Patchala

  • Pharmacist
  • Plano, TX
National Provider Identifier
1508207093
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
50052 Issued in TX
Practice address
2743 W 15TH St
Plano, TX 75075-7525
Phone
(214) 919-2090
Fax
(214) 919-2091
NPI assigned
Jul 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 50052 TX Primary
Pharmacist 183500000X PD12250 AR
Pharmacist 183500000X S019713 AZ
Pharmacist 183500000X PST.020136 LA

Addresses

Primary practice location

2743 W 15TH St
Plano, TX 75075-7525

Mailing address

2743 W 15TH St
Plano, TX 75075-7525
Phone (214) 919-2090

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
PD12250ARMDPharmacist
S019713AZMDPharmacist
PST.020136LAMDPharmacist
50052TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1508207093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2743 W 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757525",
            "telephone_number": "214-919-2090",
            "fax_number": "214-919-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 W 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757525",
            "telephone_number": "214-919-2090",
            "fax_number": "214-919-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATCHALA",
        "first_name": "DEVENDRA",
        "middle_name": "KUMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "50052",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD12250",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S019713",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.020136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.