Awad Ahmed
Individual provider Active NPI Pharmacist · Bedford, TX
NPI 1104421429 · NPPES record last updated Dec 3, 2020
Key facts
- NPI
- 1104421429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 56044 (TX)
- Practice address
- 601 N Industrial Blvd
Bedford, TX 76021-5234 - Phone
- (817) 283-0161
- NPI assigned
- Dec 3, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56044 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 56044 | TX | Yes |
Addresses
Primary practice location
601 N Industrial Blvd
Bedford, TX 76021-5234
Mailing address
601 N Industrial Blvd
Bedford, TX 76021-5234
Phone (203) 489-2861
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE | |
| NONO | Other | NONO |
Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.