Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629401542 Individual Practitioner Female Practitioner

Detty Pallikkuneal John

Pharmacist • Lewisville, TX

Professional Overview & Biography Verified Profile Summary

Detty John is a registered healthcare professional specializing in Pharmacist in Lewisville, TX. Practice services are available at 4760 STATE HIGHWAY 121 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4760 State Highway 121

Lewisville, TX 750562913

Telephone 4692870346
Associated Practice Facility / Clinic
🏢 Cvs Pharmacy Inc. Facility NPI 1932346319

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Lewisville, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
72 Specialists

Practicing in Lewisville, TX (18958 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License TX 53673

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1477801751
NPI 1588943583

Doctor of Pharmacy (Pharm.D.)

NPI 1902153364

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 14, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2013

Registered at 4760 STATE HIGHWAY 121, LEWISVILLE, TX 750562913 (Tel: 4692870346)

📍
Updated Business Mailing Address August 14, 2013

Registered at 4760 STATE HIGHWAY 121, LEWISVILLE, TX 750562913 (Tel: 4692870346)

👤
Provider Name / Credentials Updated August 14, 2013

Recorded as DETTY JOHN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2013

Pharmacist (License #53673 in TX)

🟢
Initial NPI Registration & Enumeration August 14, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629401542
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2013
Last Update: August 14, 2013
Sole Proprietor: Yes

Mailing Address

4760 State Highway 121

Lewisville, TX 750562913

Phone: 4692870346

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.