Individual provider Active NPI

Miteshkumar Maradia

  • Pharmacist
  • Dallas, TX
National Provider Identifier
1558647958
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
50845 Issued in TX
Practice address
2930 S Buckner Blvd
Dallas, TX 75227-6907
Phone
(806) 698-2234
NPI assigned
Oct 29, 2011
Last updated
Nov 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 50845 TX Primary

Addresses

Primary practice location

2930 S Buckner Blvd
Dallas, TX 75227-6907

Mailing address

2930 S Buckner Blvd
Dallas, TX 75227-6907

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
50845TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellrx Pharmacy Inc CurrentSince Nov 9, 2021 Accepting new patients

Locations

2930 S Buckner Blvd
Dallas, TX 75227
Phone (469) 709-8231

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, 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": "1319846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1558647958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 S BUCKNER BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752276907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 S BUCKNER BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752276907",
            "telephone_number": "806-698-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARADIA",
        "first_name": "MITESHKUMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-29",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "50845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.