Mushreq Ali

Individual provider Active NPI Pharmacist · Cedar Park, TX

NPI 1871186783 · NPPES record last updated Feb 11, 2021

Key facts

NPI
1871186783
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
66200 (TX)
Practice address
710 N Bell Blvd
Cedar Park, TX 78613-2214
Phone
(512) 250-0867
NPI assigned
Feb 11, 2021
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
66200TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past
since Feb 14, 2021
Accepting new patients
Walgreen Co Past
since Feb 14, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 66200 TX Yes

Addresses

Primary practice location

710 N Bell Blvd
Cedar Park, TX 78613-2214

Mailing address

710 N Bell Blvd
Cedar Park, TX 78613-2214
Phone (512) 250-0867

Other providers in Cedar Park, TX

All providers in Cedar Park, TX · Pharmacist in Texas

Sources for this page

Verify at the official NPI Registry.