NPIMap

Organization Active NPI

Thirumala Group LLC

  • Community/Retail Pharmacy
  • Princeton, TX
National Provider Identifier
1699112284
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28496 Issued in TX
Legal business name
THIRUMALA GROUP LLC
Practice address
100 W Princeton Dr # a
Princeton, TX 75407-9607
Phone
(972) 736-3777
Fax
(972) 736-3773
NPI assigned
May 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Praveen Daida
Title
Owner/Officer
Phone
(972) 736-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28496 TX Primary

Addresses

Primary practice location

100 W Princeton Dr # a
Princeton, TX 75407-9607

Mailing address

100 W Princeton Dr # a
Princeton, TX 75407-9607
Phone (972) 736-3777

Other identifiers 1

IdentifierTypeStateIssuer
2140463OtherPK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170819000047 TX Part B Supplier - Mass Immunization (Roster Biller Only) 4981976370 Practice locations: Princeton, TX
O20171109001449 TX DME Supplier - Pharmacy 4981976370 Practice locations: Princeton, TX

National Provider Directory

National Provider Directory
Tax ID family
Princeton Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

100 W Princeton Dr
#A
Princeton, TX 75407
Phone (972) 215-9072

100 W Princeton Dr
Ste A
Princeton, TX 75407
Phone (972) 736-3777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1699112284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W PRINCETON DR # A",
            "city": "PRINCETON",
            "state": "TX",
            "postal_code": "754079607",
            "telephone_number": "972-736-3777",
            "fax_number": "972-736-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W PRINCETON DR # A",
            "city": "PRINCETON",
            "state": "TX",
            "postal_code": "754079607",
            "telephone_number": "972-736-3777",
            "fax_number": "972-736-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRUMALA GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "DAIDA",
        "authorized_official_first_name": "PRAVEEN",
        "authorized_official_title_or_position": "OWNER/OFFICER",
        "authorized_official_telephone_number": "972-736-3777"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140463",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.