Active NPI
Ajaykumar R Jadeja, RPH
- Pharmacist
- Ennis, TX
National Provider Identifier
1710583547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 35485
- Practice address
- 606 West Ennis Ave
Ennis, TX 75119 - Phone
- (972) 875-5996
- NPI assigned
- Dec 8, 2020
- Last updated
- Nov 24, 2022
- Sex
- Male
- 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 | 35485 | TX | Primary |
Addresses
Primary practice location
606 West Ennis Ave
Ennis, TX 75119
Mailing address
3105 Jaclamo St
Flower Mound, TX 75022-3908
Phone (972) 896-9407
Other practice location 1
4045 E Belknap St
Haltom City, TX 76111-6638
Phone (682) 707-9400
Other names 1
- Mr. Ajay R Jadeja
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 |
|---|---|---|---|
| 35485 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smart Choice Compounding Pharmacy | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- NPI 1083595458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669248000000",
"number": "1710583547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3105 JACLAMO ST",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750223908",
"telephone_number": "972-896-9407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 WEST ENNIS AVE",
"city": "ENNIS",
"state": "TX",
"postal_code": "75119",
"telephone_number": "972-875-5996"
}
],
"practiceLocations": [
{
"address_1": "4045 E Belknap St",
"address_purpose": "LOCATION",
"city": "Haltom City",
"state": "TX",
"postal_code": "761116638",
"country_code": "US",
"telephone_number": "682-707-9400",
"fax_number": "682-707-9402",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JADEJA",
"first_name": "AJAYKUMAR",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-08",
"last_updated": "2022-11-24",
"certification_date": "2022-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "35485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AJAY",
"last_name": "JADEJA",
"middle_name": "R",
"prefix": "MR.",
"credential": "RPH",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Ennis, TX
- International Healthcare Supplies & Equipment Inc
- Syed Iqbal
- Heather Rae Ivers, PHARM.D., R.PH.
- Jackson Services & Management LLC
- Erin Denise Jackson, LPC
- Janie E. Roberson MD PA Dba North Texas Children's Clinic
- Basem Jassin, M.D.
- Jerry Northcutt, PLLC (Ellis County Eye Center)
- Jill Van Horn DO a Professional Corporation
- Larry A Jinks, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.