Active NPI
Mita Gupta, PHARM.D.
- Pharmacotherapy Pharmacist
- Houston, TX
National Provider Identifier
1659552404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 54279
- Practice address
- 1504 Taub Loop
Houston, TX 77030-1608 - Phone
- (708) 705-9563
- NPI assigned
- Nov 21, 2007
- Last updated
- Oct 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051290749 | IL | |
| Pharmacotherapy Pharmacist | 1835P1200X | 54279 | TX | Primary |
Addresses
Primary practice location
1504 Taub Loop
Houston, TX 77030-1608
Mailing address
1504 Taub Loop
Houston, TX 77030-1608
Phone (708) 705-9563
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 |
|---|---|---|---|
| 051290749 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412553600000",
"number": "1659552404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1504 TAUB LOOP",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301608",
"telephone_number": "708-705-9563",
"fax_number": "708-705-9563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 TAUB LOOP",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301608",
"telephone_number": "708-705-9563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTA",
"first_name": "MITA",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-21",
"last_updated": "2014-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051290749",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "TX",
"license": "54279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.