1265990113 NPI number — DELIVER MY MEDS CORP

Table of content: (NPI 1265990113)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265990113 NPI number — DELIVER MY MEDS CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DELIVER MY MEDS CORP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265990113
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/01/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1100 BUSINESS PKWY STE 185
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICHARDSON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75081-5073
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
833-323-6337
Provider Business Mailing Address Fax Number:
833-329-6979

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1100 BUSINESS PKWY STE 185
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RICHARDSON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75081-5073
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
833-323-6337
Provider Business Practice Location Address Fax Number:
833-329-6979
Provider Enumeration Date:
03/11/2019

Additional Information

Authorized Official

Authorized Official Last Name:
CHAUDHARY
Authorized Official First Name:
SHAHBAZ
Authorized Official Middle Name:
JAVAID
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
833-323-6337

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 335E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1002995 . This is a "DURABLE MEDICAL EQUIPMENT LICENSE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1265990113 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 20226000897 . This is a "STATE OF COLORADO DEPARTMENT OF STATE" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 69001755A . This is a "INDIANA DURABLE MEDICAL EQUIPMENT LICENSE" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".
  • Identifier: 100103441 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 84774371 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".
  • Identifier: MG02104 . This is a "ARKANSAS STATE BOARD OF PHARMACY" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: 291764716 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0237000560 . This is a "VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 13157465-1714 . This is a "STATE OF UTAH DEPARTMENT OF COMMERCE" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 18384 . This is a "MISSISSIPPI BOARD OF PHARMACY" identifier , issued by the state of ( MS ) . This identifiers is of the category "OTHER".
  • Identifier: 500814948 , issued by the state of ( OR ) . This identifiers is of the category "MEDICAID".
  • Identifier: CSW.0005155 . This is a "STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: DME67480 . This is a "IDAHO STATE BOARD OF PHARMACY" identifier , issued by the state of ( ID ) . This identifiers is of the category "OTHER".
  • Identifier: 07629 . This is a "STATE OF NEW HAMPSHIRE BOARD OF PHARMACY" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 995007900 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: C002225 . This is a "ARIZONA STATE BOARD OF PHARMACY" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 117826 . This is a "STATE OF CALIFORNIA DEPARTMENT OF PUBLIC HEALTH FOOD AND DRUG BRANCH" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 16-119168 . This is a "KANSAS STATE BOARD OF PHARMACY" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 0426755 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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