Faraz Fozi, PHARMD
Individual provider Active NPI Pharmacist · Sachse, TX
NPI 1689047342 · NPPES record last updated Dec 20, 2022
Key facts
- NPI
- 1689047342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 55000 (TX)
- Practice address
- 5434 Highway 78
Sachse, TX 75048-3740 - Phone
- (972) 495-0408
- NPI assigned
- Nov 3, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8330 | NM | MD | Pharmacist |
| 55000 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8330 | NM | |
| Pharmacist | 183500000X | 55000 | TX | Yes |
Addresses
Primary practice location
5434 Highway 78
Sachse, TX 75048-3740
Mailing address
5434 Highway 78
Sachse, TX 75048-3740
Phone (972) 495-0408
Other providers in Sachse, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.