Individual provider Active NPI

Thirumurugan Gopalasamy, RPH

  • Pharmacist
  • Edinburg, TX
National Provider Identifier
1780274019
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
49264 Issued in TX
Practice address
2500 W Trenton Rd Ste 12
Edinburg, TX 78539-8023
Phone
(956) 255-5515
NPI assigned
Jan 20, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 49264 TX Primary

Addresses

Primary practice location

2500 W Trenton Rd Ste 12
Edinburg, TX 78539-8023

Mailing address

2500 W Trenton Rd Ste 12
Edinburg, TX 78539-8023
Phone (956) 255-5515

Other identifiers 1

IdentifierTypeStateIssuer
49264OtherTXSTATE BOARD OF PHARMACY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http

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

LicenseStateTypeSpecialty
49264TXMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1780274019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W TRENTON RD STE 12",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398023",
            "telephone_number": "956-255-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W TRENTON RD STE 12",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398023",
            "telephone_number": "956-255-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPALASAMY",
        "first_name": "THIRUMURUGAN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "49264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "49264",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http",
            "affiliation": "N",
            "address_1": "2500 W Trenton Rd Ste 12",
            "city": "Edinburg",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785398023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.