Active NPI
Pradeep Kafle
- Pharmacist
- Dallas, TX
National Provider Identifier
1750985073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61361
- Practice address
- 10003 Marsh LN
Dallas, TX 75229-6058 - Phone
- (214) 358-4865
- NPI assigned
- Nov 27, 2020
- 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 | 61361 | TX | Primary |
Addresses
Primary practice location
10003 Marsh LN
Dallas, TX 75229-6058
Mailing address
10003 Marsh LN
Dallas, TX 75229-6058
Phone (214) 358-4865
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61361 | TX | MD | Clinical Social Worker |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606435200000",
"number": "1750985073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10003 MARSH LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752296058",
"telephone_number": "214-358-4865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10003 MARSH LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752296058",
"telephone_number": "214-358-4865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAFLE",
"first_name": "PRADEEP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-27",
"last_updated": "2020-11-27",
"certification_date": "2020-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "61361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.