MR. PRAVEEN D REDDY (NPI# 1164769493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164769493 |
| Entity Type | Individual |
| Full Name | MR. PRAVEEN D REDDY |
| Credential | R.PH |
| Practice Address |
5742 E Mockingbird Ln Dallas TX 75206-5422 |
| Mailing Address |
5742 E Mockingbird Ln Dallas TX 75206 |
| Practice Telephone | 2148267136 |
| Mailing Telephone | 2148267136 |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 36577 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316988090 | Praveen Jada Kumar Reddy | Internal Medicine | 5400 Kell West Blvd, Wichita Falls, TX 76310-1610 | 2006-06-10 |
| 1255301842 | Praveen K Reddy | Orthopaedic Surgery | 721 River Dr., Suite B, Fort Bragg, CA 95437-5403 | 2006-01-25 |
| 1720060775 | Praveen B Reddy | Neurological Surgery | 1725 Se 28th Loop Ste 102, Ocala, FL 34471-5328 | 2005-11-16 |
| 1831539964 | Praveen A Reddy | Physician Assistant | 801 W 1st St, San Juan, TX 78589-2276 | 2013-07-03 |
| 1184933319 | Praveen P Reddy | Pharmacist | 1 Millenium Dr, Willingboro, NJ 08046-1000 | 2010-10-05 |
| 1457663338 | Praveen K Reddy | Hospitalist | 267 Grant St, Bridgeport, CT 06610-2805 | 2010-07-08 |
| 1306028055 | Praveen Kumar Reddy | Physical Therapist | 16200 Hubbard Dr, Dearborn, MI 48126-4155 | 2007-12-04 |
| 1124093851 | Praveen C Reddy | Radiology | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2006-02-17 |
| Street Address |
5742 E MOCKINGBIRD LN |
| City | DALLAS |
| State | TX |
| Zip Code | 75206-5422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760497663 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5742 E Mockingbird Ln, Dallas, TX 75206-5422 | 2006-07-29 |
| 1760094510 | Nelson Origa | Pharmacist | 5742 E Mockingbird Ln, Dallas, TX 75206-5422 | 2020-08-21 |
| 1598092983 | Quoc-bao Alex Dinh | Pharmacist | 5742 E Mockingbird Ln, Dallas, TX 75206-5422 | 2009-11-06 |
| 1932436383 | Jillian Wolfrum | Pharmacist | 5742 E Mockingbird Ln, Dallas, TX 75206-5422 | 2009-11-05 |
| 1194052712 | Gary Stephen Drabczuk | Pharmacist | 5742 E Mockingbird Ln, Dallas, TX 75206-5422 | 2009-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596919 | Dallas Anesthesia Group, Pllc | Anesthesiology | 5706 E. Mockingbird Ln, Ste 115, Dallas, TX 75206 | 2019-09-06 |
| 1003398074 | Aaron Hands | Psychologist | 5646 Milton St Ste 740, Dallas, TX 75206 | 2018-09-05 |
| 1174001960 | Robert Butler Hampson | Psychologist | 5910 N. Central Expressway, Suite 1820, Dallas, TX 75206 | 2018-08-02 |
| 1851890636 | Old Town Endoscopy Center LLC | Nurse Anesthetist, Certified Registered | 5500 Greenville Avenue Suite 1100, Dallas, TX 75206 | 2018-02-07 |
| 1851830434 | Amanda Rash | Physical Therapy Assistant | 5855 Milton Road, Dallas, TX 75206 | 2017-02-16 |
| 1649727272 | Insights Psychotherapy Group, Pllc | Counselor | 5255 Vickery Boulevard, Dallas, TX 75206 | 2016-09-01 |
| 1215389655 | Revolution Monitoring Management, LLC | Psychiatry & Neurology | 4925 Greenville Ave #200, Dallas, TX 75206 | 2016-07-11 |
| 1225413776 | Chelsea Young | Speech-Language Pathologist | 8820 Southwestern Blvd #605, Dallas, TX 75206 | 2015-07-27 |
| 1861802332 | Shane Ahlers | Internal Medicine | 6037 Marquita Ave, Dallas, TX 75206 | 2014-05-05 |
| 1417386442 | Inspire Pediatric Therapy | Speech-Language Pathologist | 5646 Milton, #307, Dallas, TX 75206 | 2013-11-12 |
| Find all providers in zip 75206 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608629 | Harshadbhai Vinubhai Patel | Pharmacist | 3615 Marietta Highway, Dallas, GA 30157 | 2020-10-30 |
| 1205436599 | Jessica Badders | Pharmacist | 6185 Retail Rd Ste 100, Dallas, TX 75231-7807 | 2020-10-27 |
| 1144820358 | Saad Sajid | Pharmacist | 4062 Lyndon B Johnson Fwy, Dallas, TX 75244-5701 | 2020-10-27 |
| 1417554882 | Ravindrakumar G Amipara | Pharmacist | 3201 Malcolm X Blvd, Dallas, TX 75215-2430 | 2020-10-07 |
| 1558973628 | Hisham Beshir | Pharmacist | 3802 Cedar Rprings Rd, Dallas, TX 75219-4136 | 2020-08-20 |
| 1497367858 | Devyn Giselle Pontzer | Pharmacist | 2802 N Carroll Ave Apt 3301, Dallas, TX 75204-3067 | 2020-08-18 |
| 1922619501 | Jorge Luis Gregorisch | Pharmacist | 2323 W Illinois Ave, Dallas, TX 75224-1637 | 2020-08-16 |
| 1427679059 | Kevon Jason Pierre | Pharmacist | 242 Arbor Creek Dr, Dallas, GA 30157-5536 | 2020-05-05 |
| 1700416658 | Rukayat Azeez | Pharmacist | 990 Singleton Blvd Apt 1554, Dallas, TX 75212-5276 | 2020-01-20 |
| 1205473279 | Olakunle Olabode | Pharmacist | 5675 Mountain Hollow Dr, Dallas, TX 75249-2028 | 2019-12-09 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on MR. PRAVEEN D REDDY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.