Individual provider Active NPI

Masoud Jafari

  • Professional Counselor
  • Lewisville, TX
National Provider Identifier
1790441285
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
502 N Valley Pkwy Ste 1a
Lewisville, TX 75067-3437
Phone
(469) 949-1003
NPI assigned
Nov 9, 2021
Last updated
Nov 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

502 N Valley Pkwy Ste 1a
Lewisville, TX 75067-3437

Mailing address

2106 Potomac Ave
Alexandria, VA 22301-3013
Phone (682) 429-7196

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rx@rxmedpharmacy.com Health Information Exchange (HIE)

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rxmed Pharmacy PLLC CurrentSince Nov 16, 2021 Accepting new patients

Locations

502 N Valley Pkwy
Ste 1A
Lewisville, TX 75067
Phone (469) 949-1003

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1790441285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 POTOMAC AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223013013",
            "telephone_number": "682-429-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N VALLEY PKWY STE 1A",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673437",
            "telephone_number": "469-949-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFARI",
        "first_name": "MASOUD",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rx@rxmedpharmacy.com",
            "affiliation": "N",
            "endpointDescription": "pharmacy secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "502 N Valley Pkwy Ste 1A",
            "city": "Lewisville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750673437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.