MRS. JOLLY ABRAHAM RAJU (NPI# 1275978397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275978397 |
| Entity Type | Individual |
| Full Name | MRS. JOLLY ABRAHAM RAJU |
| Credential | PHARM.D. |
| Practice Address |
5939 Harry Hines Blvd Pob II Ste 600 Dallas TX 75235-6246 |
| Mailing Address |
425 S Hampton Ct Lewisville TX 75056-5580 |
| Practice Telephone | 2146455609 |
| Practice Fax Number | 2146455688 |
| Mailing Telephone | 9728990395 |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
42429 | TX | Pharmacy Service Providers |
| Street Address |
5939 HARRY HINES BLVD POB II STE 600 |
| City | DALLAS |
| State | TX |
| Zip Code | 75235-6246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689679821 | Erika F Trapp | Internal Medicine | 5939 Harry Hines Blvd, Ste 847, Dallas, TX 75235-6235 | 2005-06-15 |
| 1568010684 | Johanna Paul | Nurse Practitioner | 5939 Harry Hines Blvd, Dallas, TX 75390-7134 | 2019-09-02 |
| 1134634405 | Courtney Wong | Pharmacist | 5939 Harry Hines Blvd, Dallas, TX 75235-6246 | 2017-12-08 |
| 1023460953 | Kenji Okumura | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd, Ut Southwestern Transplant Program, Dallas, TX 75390-9212 | 2016-07-02 |
| 1255790796 | Eric Manthuruthil | Physician Assistant | 5939 Harry Hines Blvd, Dallas, TX 75390 | 2016-02-12 |
| 1083092118 | Joseph Chen | Obstetrics & Gynecology | 5939 Harry Hines Blvd, Dallas, TX 75390 | 2015-05-08 |
| 1386031227 | Nicole Oakman | Internal Medicine | 5939 Harry Hines Blvd, Dallas, TX 75390-2400 | 2015-04-17 |
| 1669868014 | Aldeboran Rodriguez | Obstetrics & Gynecology | 5939 Harry Hines Blvd, Dallas, TX 75390-7201 | 2015-04-13 |
| 1366838286 | Jonathan Fitzgerald Hill Jr. | Obstetrics & Gynecology | 5939 Harry Hines Blvd, Dallas, TX 75235 | 2015-04-07 |
| 1386077246 | Virginia Ann Rady | Nurse Practitioner | 5939 Harry Hines Blvd, Prof. Bldg. II, Suite 310, Dallas, TX 75235-6246 | 2013-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
| 1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
| 1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
| 1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
| 1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
| 1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
| 1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
| 1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
| 1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
| Find all providers in zip 75235 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548657778 | John Joseph Mondin II | Pharmacist | 11970 N Central Expy Ste 340, Dallas, TX 75243-3787 | 2015-04-26 |
| 1053710905 | Marcus Arthur Kouma | Pharmacist | 4500 S Lancaster Rd (119), Dallas, TX 75216-7167 | 2014-08-16 |
| 1700064649 | Susan Duquaine | Pharmacist | 4500 S Lancaster Rd # 119, Dallas, TX 75216-7167 | 2008-02-02 |
| 1326261165 | Christy Vaughan | Pharmacist | 1441 N. Beckley Ave, Pharmacy Dept, Dallas, TX 75203 | 2007-04-10 |
| 1285779199 | Lord and A. Pharmacy | Pharmacist | 2949 Martin Luther King Jr Blvd Ste 1, Dallas, TX 75215-6317 | 2007-02-20 |
| 1760573265 | April Yvette Allen | Pharmacist | 4500 S Lancaster Rd Bldg 7 Rm 119-a, Dallas, TX 75216-7167 | 2006-09-27 |
| 1073611588 | Ronald Gene Hall II | Pharmacist | 4500 Lancaster, Bldg 7, R# 119a, Dallas, TX 75216 | 2006-09-20 |
| 1114032299 | Jerica L Goodwin | Pharmacist | 4500 S Lancaster Rd # 119c, Dallas, TX 75216-7167 | 2006-08-20 |
| 1740394394 | Carlos A Alvarez | Pharmacist | 4500 S Lancaster Rd Bldg 7-r # 119a, Dallas, TX 75216-7167 | 2006-08-19 |
| 1871586347 | Bridget Paravattil | Pharmacist | 1400 N Westmoreland Rd, Dallas, TX 75211-1656 | 2005-08-30 |
| Find all providers in DALLAS | ||||
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| 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.