Individual provider Active NPI

Adam Bohuslav, PHARMD

  • Pharmacist
  • Round Rock, TX
National Provider Identifier
1154099182
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
48872 Issued in TX
Practice address
603 Louis Henna Blvd
Round Rock, TX 78664-7186
Phone
(512) 828-0814
NPI assigned
Sep 3, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 48872 TX Primary

Addresses

Primary practice location

603 Louis Henna Blvd
Round Rock, TX 78664-7186

Mailing address

603 Louis Henna Blvd
Round Rock, TX 78664-7186

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

LicenseStateTypeSpecialty
48872TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
H-E-B, LP PastSince Sep 5, 2021 Accepting new patients
H-E-B, LP PastSince Sep 5, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1154099182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 LOUIS HENNA BLVD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 LOUIS HENNA BLVD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647186",
            "telephone_number": "512-828-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHUSLAV",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "48872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.

Verify at the official NPI Registry.