Individual provider Active NPI

Elizabeth Theophilos, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • North Richland Hills, TX
National Provider Identifier
1669071874
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
40434 Issued in TX
Practice address
7201 Grapevine Hwy
North Richland Hills, TX 76180-8605
Phone
(817) 281-8310
Fax
(817) 427-8281
NPI assigned
Oct 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 046601 NY
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 16022 CO
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 40434 TX Primary

Addresses

Primary practice location

7201 Grapevine Hwy
North Richland Hills, TX 76180-8605

Mailing address

7201 Grapevine Hwy
North Richland Hills, TX 76180-8605
Phone (817) 281-8310

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
16022COMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
046601NYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
40434TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kroger Texas L P CurrentSince Nov 21, 2021 Accepting new patients
Kroger Texas LP PastSince Oct 25, 2020 Accepting new patients

Locations

7201 Grapevine Hwy
North Richland Hills, TX 76180
Phone (817) 281-8310

Organizations & group practices 2

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": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1669071874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 GRAPEVINE HWY",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808605",
            "telephone_number": "817-281-8310",
            "fax_number": "817-427-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 GRAPEVINE HWY",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808605",
            "telephone_number": "817-281-8310",
            "fax_number": "817-427-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEOPHILOS",
        "first_name": "ELIZABETH",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NY",
            "license": "046601",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CO",
            "license": "16022",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "40434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.