Active NPI
Thirumurugan Gopalasamy, RPH
- Pharmacist
- Edinburg, TX
National Provider Identifier
1780274019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 49264
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49264 | Other | TX | STATE BOARD OF PHARMACY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 49264 | TX | MD | Pharmacist |
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.