Individual provider Active NPI

Mariya Faheem Farooqi, PHARMD

  • Pharmacist
  • Plano, TX
National Provider Identifier
1780280644
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
57590 Issued in TX
Practice address
2454 Jupiter Rd
Plano, TX 75074-4904
Phone
(972) 578-8607
NPI assigned
Dec 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 57590 TX Primary

Addresses

Primary practice location

2454 Jupiter Rd
Plano, TX 75074-4904

Mailing address

7916 Swenson Dr
Irving, TX 75063-0148
Phone (401) 486-4729

Other identifiers 1

IdentifierTypeStateIssuer
465824MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL rxconnect CVS PHARMACY INC

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
57590TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Pharmacy Inc PastSince Dec 13, 2020 Accepting new patients
CVS Pharmacy Inc PastSince Dec 13, 2020 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": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1780280644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7916 SWENSON DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750630148",
            "telephone_number": "401-486-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 JUPITER RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750744904",
            "telephone_number": "972-578-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAROOQI",
        "first_name": "MARIYA",
        "middle_name": "FAHEEM",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "57590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "465824",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rxconnect",
            "affiliation": "Y",
            "affiliationName": "CVS PHARMACY INC",
            "address_1": "2454 Jupiter Rd",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750744904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.

Verify at the official NPI Registry.