Active NPI
Ambily Gopinathan, RPH
- Pharmacist
- Wharton, TX
National Provider Identifier
1699492355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67734
- Practice address
- 1710 N Richmond Rd
Wharton, TX 77488-2713 - Phone
- (979) 532-8660
- Fax
- (979) 532-8496
- NPI assigned
- Oct 24, 2022
- Last updated
- Oct 24, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 67734 | TX | Primary |
Addresses
Primary practice location
1710 N Richmond Rd
Wharton, TX 77488-2713
Mailing address
1710 N Richmond Rd
Wharton, TX 77488-2713
Phone (979) 532-8660
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
| License | State | Type | Specialty |
|---|---|---|---|
| 67734 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1699492355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 N RICHMOND RD",
"city": "WHARTON",
"state": "TX",
"postal_code": "774882713",
"telephone_number": "979-532-8660",
"fax_number": "979-532-8496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 N RICHMOND RD",
"city": "WHARTON",
"state": "TX",
"postal_code": "774882713",
"telephone_number": "979-532-8660",
"fax_number": "979-532-8496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOPINATHAN",
"first_name": "AMBILY",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-24",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "67734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wharton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.