IndividualActive
Adiseshu Gelli
NPI 1568092542 · Pharmacist · Grand Prairie, TX
Provider details
- NPI number
- 1568092542
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 44972 (TX)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
721 W Tarrant Rd Ste 110
Grand Prairie, TX 75050-3445
Phone: (833) 224-7223
Approximate (ZIP-level) locationGet directions
Mailing address
721 W Tarrant Rd Ste 110
Grand Prairie, TX 75050-3445
Registry dates
- Enumerated
- 2020-01-18
- Last updated
- 2020-01-18
- Certified
- 2020-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.