Provider Demographics
NPI:1083595458
Name:SMART CHOICE COMPOUNDING PHARMACY
Entity type:Organization
Organization Name:SMART CHOICE COMPOUNDING PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:AJAYKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:JADEJA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:972-896-9407
Mailing Address - Street 1:4090 MAPLESHADE LN STE 110
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-0045
Mailing Address - Country:US
Mailing Address - Phone:469-941-9601
Mailing Address - Fax:469-941-9565
Practice Address - Street 1:4090 MAPLESHADE LANE
Practice Address - Street 2:SUITE 110
Practice Address - City:PLANO
Practice Address - State:TEXAS
Practice Address - Zip Code:75093
Practice Address - Country:US
Practice Address - Phone:
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-10
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding PharmacyGroup - Single Specialty