Individual provider Active NPI

Gauravkumar Hemrajbhai Chaudhari, PHARM.D

  • Pharmacist
  • Chaparral, NM
National Provider Identifier
1750737334
Registry record updated Sep 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP8490 Issued in NM
Practice address
550 E Lisa Dr Ste C
Chaparral, NM 88081-8080
Phone
(575) 824-5242
Fax
(575) 824-4066
NPI assigned
May 12, 2016
Last updated
Sep 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 55447 TX
Pharmacist 183500000X RP8490 NM Primary

Addresses

Primary practice location

550 E Lisa Dr Ste C
Chaparral, NM 88081-8080

Mailing address

11210 Sean Haggerty Dr
Apt 17201
El Paso, TX 79934-3443
Phone (917) 476-5281

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP8490NMMDPharmacist
55447TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Apothecary Pharmacy PC CurrentSince Sep 8, 2019 Accepting new patients

Locations

550 E Lisa Dr
Ste C
Chaparral, NM 88081
Phone (575) 824-5242

Organizations & group practices 1

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": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567296000000",
    "number": "1750737334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11210 SEAN HAGGERTY DR",
            "address_2": "APT 17201",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799343443",
            "telephone_number": "917-476-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E LISA DR STE C",
            "city": "CHAPARRAL",
            "state": "NM",
            "postal_code": "880818080",
            "telephone_number": "575-824-5242",
            "fax_number": "575-824-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHARI",
        "first_name": "GAURAVKUMAR",
        "middle_name": "HEMRAJBHAI",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-12",
        "last_updated": "2019-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "55447",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP8490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaparral, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2019; 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.