MEDICARE: DR. SHAWN VARGHESE PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835C0207X	Compounded Sterile Preparations Pharmacist	61163	TX

General Provider Information

NPI Number	:	1568307759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHAWN VARGHESE PHARMD

Provider Business Mailing Address
First Line	:	1805 BOYD CT
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-6302
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1935 MEDICAL DISTRICT DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-7701
Country	:	US
Telephone Number	:	214-456-2816
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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