Active NPI
Reena Kurian, PHARM D
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Plano, TX
National Provider Identifier
1962001842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 41969
- Practice address
- 4017 14TH St
Plano, TX 75074-7113 - Phone
- (972) 424-7529
- Fax
- (972) 422-0027
- NPI assigned
- Oct 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 41969 | TX | Primary |
Addresses
Primary practice location
4017 14TH St
Plano, TX 75074-7113
Mailing address
3008 Ruby Dr
Wylie, TX 75098-8926
Phone (214) 207-1030
Other names 1
- Mrs. Reena Kurian
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
| License | State | Type | Specialty |
|---|---|---|---|
| 41969 | TX | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Texas LP | Past | Accepting new patients | |
| Kroger Texas L P | Past | 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": "1603238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1962001842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3008 RUBY DR",
"city": "WYLIE",
"state": "TX",
"postal_code": "750988926",
"telephone_number": "214-207-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4017 14TH ST",
"city": "PLANO",
"state": "TX",
"postal_code": "750747113",
"telephone_number": "972-424-7529",
"fax_number": "972-422-0027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURIAN",
"first_name": "REENA",
"name_prefix": "Mrs.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-21",
"last_updated": "2020-10-21",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "TX",
"license": "41969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REENA",
"last_name": "KURIAN",
"prefix": "MRS.",
"credential": "REENA KURIAN PHARM D",
"code": "5",
"type": "Other Name"
}
]
}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 Oct 21, 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.