Roshan George Koppuzhayil

Primary specialty

PharmacistTaxonomy code 183500000X

License

47827 Issued in TX

Practice address

6128 Broadway St
Galveston, TX 77551-1030

Phone

(409) 740-0876

NPI assigned

Nov 13, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Hanr Investments LLC

  • Multi-Specialty Clinic/Center
  • Bellaire, TX
  • NPI 1245963511

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1992579700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 SAWYER BEND LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774797122",
            "telephone_number": "832-495-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6128 BROADWAY ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775511030",
            "telephone_number": "409-740-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPPUZHAYIL",
        "first_name": "ROSHAN",
        "middle_name": "GEORGE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "47827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spogmai Nonesupplied Komak, MD
• Krishnateja Kommera
• Prameela Konda, M.D.,
• Petros Konofaos, M.D., PHD
• Alexander Konopnicki, DO
• John Walter Kosty, M.D.
• Aristides Koutrouvelis, MD
• Esmeralda Barrera Kovach, LCSW
• Arthi Kovvali, DO
• Alla Kozubenko, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.