Individual provider Active NPI

Jagrutibahen Somabhai Modi

  • Community/Retail Pharmacy
  • Sugar Land, TX
National Provider Identifier
1972174803
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
33852 Issued in TX
Practice address
2639 Cordes Dr Ste a
Sugar Land, TX 77479-1353
Phone
(281) 277-7623
Fax
(346) 275-2366
NPI assigned
Jul 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 33852 TX Primary

Addresses

Primary practice location

2639 Cordes Dr Ste a
Sugar Land, TX 77479-1353

Mailing address

9906 Springfield Ridge Dr
Katy, TX 77494-1924
Phone (713) 304-1854

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

State licenses

LicenseStateTypeSpecialty
33852TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aplomb Care Pharmacy Community/Retail Pharmacy CurrentSince Jul 1, 2021 Accepting new patients

Locations

2639 Cordes Dr
Ste A
Sugar Land, TX 77479
Phone (281) 277-7623

101 Southwestern Blvd
Ste 231
Sugar Land, TX 77478
Phone (281) 277-0711

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1972174803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9906 SPRINGFIELD RIDGE DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941924",
            "telephone_number": "713-304-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 CORDES DR STE A",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791353",
            "telephone_number": "281-277-7623",
            "fax_number": "346-275-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODI",
        "first_name": "JAGRUTIBAHEN",
        "middle_name": "SOMABHAI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "33852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.