Shots on Site LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SHOTS ON SITE LLC

Practice address

3671 Broadway Blvd Ste 400
Garland, TX 75043-1686

Phone

(972) 840-0001

NPI assigned

May 5, 2015

Last updated

May 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew K Cummings, RPH

Title

Owner

Phone

(972) 840-0001

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Kathryn Hood, M.D.

  • Family Medicine Physician
  • Richardson, TX
  • NPI 1902878770
  NPD (past)
• Michelle Ann Newton, R.N., APRN-BC

  • Family Nurse Practitioner
  • Sunnyvale, TX
  • NPI 1083710685
  NPD (past)
• Ahsan Mohammad Riaz, M.D

  • Internal Medicine Physician
  • Richardson, TX
  • NPI 1952616187
  NPD (past)

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1952788317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3671 BROADWAY BLVD STE 400",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431686",
            "telephone_number": "972-840-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3671 BROADWAY BLVD STE 400",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431686",
            "telephone_number": "972-840-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOTS ON SITE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-840-0001",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Garland, TX
• Providers in Garland, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.