Active NPI
Pooja Bombaywala
- Pharmacist
- Baytown, TX
National Provider Identifier
1194357434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 65748
- Practice address
- 1658 W Baker Rd
Baytown, TX 77521-2283 - Phone
- (281) 428-0009
- NPI assigned
- Feb 5, 2020
- 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 | 65748 | TX | Primary |
Addresses
Primary practice location
1658 W Baker Rd
Baytown, TX 77521-2283
Mailing address
1658 W Baker Rd
Baytown, TX 77521-2283
Phone (281) 428-0009
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65748 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580860800000",
"number": "1194357434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1658 W BAKER RD",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775212283",
"telephone_number": "281-428-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1658 W BAKER RD",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775212283",
"telephone_number": "281-428-0009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOMBAYWALA",
"first_name": "POOJA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-05",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "65748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baytown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.