Active NPI
Ranhyok Im, PHARMD
- Pharmacist
- Haltom City, TX
National Provider Identifier
1063795151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 49743
- Practice address
- 4045 E Belknap St Ste 10
Haltom City, TX 76111-6637 - Phone
- (682) 707-9400
- NPI assigned
- Sep 24, 2011
- Last updated
- Jun 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 49743 | TX | Primary |
Addresses
Primary practice location
4045 E Belknap St Ste 10
Haltom City, TX 76111-6637
Mailing address
941 Keeler St
Lantana, TX 76226-6609
Phone (972) 646-0896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49743 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bestrx Pharmacy Inc | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
4045 E Belknap St
Ste 10
Haltom City, TX 76111
Phone (682) 707-9400
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1063795151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "941 KEELER ST",
"city": "LANTANA",
"state": "TX",
"postal_code": "762266609",
"telephone_number": "972-646-0896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4045 E BELKNAP ST STE 10",
"city": "HALTOM CITY",
"state": "TX",
"postal_code": "761116637",
"telephone_number": "682-707-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IM",
"first_name": "RANHYOK",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-24",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "49743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haltom City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.