NPIMap

Organization Active NPI

Shehzadi Nagra MD PLLC

Doing business as Falls Medical Pharmacy

  • Home Infusion Therapy Pharmacy
  • Wichita Falls, TX
National Provider Identifier
1639760325
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
SHEHZADI NAGRA MD PLLC
Doing business as
Falls Medical Pharmacy
Shehzadi Nagra MD
Practice address
1601 Brook Ave
Wichita Falls, TX 76301-5619
Phone
(940) 723-9226
Fax
(940) 723-9217
NPI assigned
Jan 27, 2021
Last updated
Nov 14, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SHEHZADI NAGRA MD PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Mary Brooking
Title
Administrator
Phone
(940) 723-9226

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Home Infusion Therapy Pharmacy 3336H0001X Primary

Addresses

Primary practice location

1601 Brook Ave
Wichita Falls, TX 76301-5619

Mailing address

1601 Brook Ave
Wichita Falls, TX 76301-5619
Phone (940) 723-9226

Other identifiers 1

IdentifierTypeStateIssuer
33625OtherTXPHARMACY LIC

Other names 2

  • FALLS MEDICAL PHARMACY Doing business as
  • Shehzadi Nagra MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210429000105 TX Part B Supplier - Pharmacy 3375779002 Practice locations: Wichita Falls, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Shehzadi Nagra MD PLLC2 organizations share this tax ID, including this one
Part of
Shehzadi Nagra MD PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1639760325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015619",
            "telephone_number": "940-723-9226",
            "fax_number": "940-723-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015619",
            "telephone_number": "940-723-9226",
            "fax_number": "940-723-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEHZADI NAGRA MD PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHEHZADI NAGRA MD PLLC",
        "enumeration_date": "2021-01-27",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "BROOKING",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "940-723-9226"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LIC",
            "identifier": "33625",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FALLS MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shehzadi Nagra MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.