Gauravkumar Hemrajbhai Chaudhari, PHARM.D
Individual provider Active NPI Pharmacist · Chaparral, NM
NPI 1750737334 · NPPES record last updated Sep 1, 2019
Key facts
- NPI
- 1750737334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP8490 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| RP8490 | NM | MD | Pharmacist |
| 55447 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apothecary Pharmacy PC | Current |
Accepting new patients |
Locations
550 E Lisa Dr
Ste C
Chaparral, NM 88081
Phone (575) 824-5242
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 55447 | TX | |
| Pharmacist | 183500000X | RP8490 | NM | Yes |
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
Other providers in Chaparral, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2019. 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.