Powerhouse Pharmacy RX LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

POWERHOUSE PHARMACY RX LLC

Practice address

4740 W Mockingbird LN Ste 100B
Dallas, TX 75209-5208

Phone

(214) 350-2900

Fax

(214) 350-2904

NPI assigned

Feb 13, 2018

Organization subpart

No

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

Authorized official

Name

Kumudben Shahiwala

Title

Owner

Phone

(614) 886-0786

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kirat Shahiwala, PHARM.D., BSPHARM

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Burleson, TX
  • NPI 1275900128
  NPD
• Navjot Kaur Bains

  • Pharmacist
  • Dallas, TX
  • NPI 1497305148
  NPD (past)
• Neha Patel

  • Pharmacist
  • Dallas, TX
  • NPI 1720484314
  NPD (past)
• Parth Patel

  • Pharmacist
  • Dallas, TX
  • NPI 1417559089
  NPD (past)

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1982104378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 W MOCKINGBIRD LN STE 100B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752095208",
            "telephone_number": "214-350-2900",
            "fax_number": "214-350-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 W MOCKINGBIRD LN STE 100B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752095208",
            "telephone_number": "214-350-2900",
            "fax_number": "214-350-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERHOUSE PHARMACY RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "SHAHIWALA",
        "authorized_official_first_name": "KUMUDBEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-886-0786"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER LICENSE NUMBER",
            "identifier": "31863",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149825",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Power, MD
• Raven Nichol Power, BSN, MSN, FNP
• Powerback Rehabilitation LLC
• Powerd Nutrition
• Powerhouse Pharmacy RX LLC
• Powerhouse Physical Therapy, PLLC
• Barbara Jean Powers, LCSW, LCDC
• Brian Powers
• Camille Marie Powers
• Christopher Ryan Powers, CAA

• Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.