Shailendra Ambeykumar Gupta

Primary specialty

PharmacistTaxonomy code 183500000X

License

42954 Issued in TX

Practice address

3806 Avenue I Ste 28
Rosenberg, TX 77471-3951

Phone

(844) 877-0101

NPI assigned

Dec 3, 2021

Last updated

Dec 3, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shailendrakumar Ambeykumar Gupta Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pharm House Carrizo Springs LLC

  • Long Term Care Pharmacy
  • Sugar Land, TX
  • NPI 1871450387
  NPD Authorized official
• Vitasource Pharmacy LLC

  dba Vitasource Pharmacy

  • Pharmacy
  • Rosenberg, TX
  • NPI 1871168229
  NPD Authorized official
• Lifechek Carrizo LLC

  dba Town Center Pharmacy

  • Community/Retail Pharmacy
  • Sugar Land, TX
  • NPI 1295777928
  Authorized official Same address or phone
• Vitasource Pharmacy LLC

  • Long Term Care Pharmacy
  • Rosenberg, TX
  • NPI 1326905845
  NPD (past) Authorized official
• Pharm House Carrizo Springs LLC

  dba Town Center Pharmacy

  • Community/Retail Pharmacy
  • Sugar Land, TX
  • NPI 1659889160
  NPD

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1942968201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 WESTHEIMER RD APT 241",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770633057",
            "telephone_number": "832-290-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3806 AVENUE I STE 28",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774713951",
            "telephone_number": "844-877-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SHAILENDRA",
        "middle_name": "AMBEYKUMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "42954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PHARMACY",
            "identifier": "42954",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAILENDRAKUMAR",
            "last_name": "GUPTA",
            "middle_name": "AMBEYKUMAR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Great Rising Pharmacy
• Naseem Aline Green, LMFT-A
• Kurt William Griesser, DC
• Sara South Griffin, BCABA
• Carlos M Guerrero, LMT
• Brian J. Gurbach, LPC
• Habwal Group LLC (Universal House Call)
• Courtney Breann Hale, BCBA
• Karen Mitschell Hamid, PT
• Hamilton County Hospital District (Avir at Rosenberg)

• Pharmacist in Rosenberg, TX
• Providers in Rosenberg, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.