Healthcare Provider Details

I. General information

NPI: 1316317209
Provider Name (Legal Business Name): FAST ACCESS SPECIALTY THERAPEUTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2015
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8101 RIDGEPOINT DR STE 100
IRVING TX
75063-3165
US

IV. Provider business mailing address

PO BOX 2578
SECAUCUS NJ
07096-2578
US

V. Phone/Fax

Practice location:
  • Phone: 877-828-3940
  • Fax: 877-828-3941
Mailing address:
  • Phone: 877-828-3940
  • Fax: 877-828-3941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number31041
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number31041
License Number StateTX
# 6
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number31041
License Number StateTX

VIII. Authorized Official

Name: DHARA PATEL
Title or Position: PRESIDENT
Credential:
Phone: 877-828-3940