Ayah Bassa
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Beaumont, TX
NPI 1134048564 · NPPES record last updated Jul 10, 2026
Key facts
- NPI
- 1134048564
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 74869 (TX)
- Practice address
- 3390 Esplanade
Beaumont, TX 77707-3665 - Phone
- (409) 893-0530
- NPI assigned
- Jul 10, 2026
- Sex
- Female
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 74869 | TX | Yes |
Addresses
Primary practice location
3390 Esplanade
Beaumont, TX 77707-3665
Mailing address
3390 Esplanade
Beaumont, TX 77707-3665
Phone (409) 893-0530
NPI Registry JSON
{
"created_epoch": "1783641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1134048564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3390 ESPLANADE",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777073665",
"telephone_number": "409-893-0530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3390 ESPLANADE",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777073665",
"telephone_number": "409-893-0530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASSA",
"first_name": "AYAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-10",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "TX",
"license": "74869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
- James Bradley Gustaf Barton
- Myia Barton
- Carina Bass
- Diane Shaffer Bass
- Nancy E Bass
- Ronnica Bates
- Summer Bates
- Swarnalatha Devi Bathina
- Angela Marie Batiste
- Cassie Baugh
All providers in Beaumont, TX · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2026. 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.