Active NPI
Bertin Vouffo, PHARM.D.
- Pharmacist
- Amarillo, TX
National Provider Identifier
1255885406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 58660
- Practice address
- 5709 W Amarillo Blvd
Amarillo, TX 79106-4003 - Phone
- (806) 355-7209
- NPI assigned
- Aug 4, 2016
- Sex
- Male
- Sole proprietor
- No
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 | 58660 | TX | Primary |
Addresses
Primary practice location
5709 W Amarillo Blvd
Amarillo, TX 79106-4003
Mailing address
19 Cypress PT
Amarillo, TX 79124-4913
Phone (240) 330-0728
Other practice location 1
19 Cypress Pt
Amarillo, TX 79124-4913
Phone (240) 330-0728
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 |
|---|---|---|---|
| 58660 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1255885406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 CYPRESS PT",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791244913",
"telephone_number": "240-330-0728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5709 W AMARILLO BLVD",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791064003",
"telephone_number": "806-355-7209"
}
],
"practiceLocations": [
{
"address_1": "19 Cypress Pt",
"address_purpose": "LOCATION",
"city": "Amarillo",
"state": "TX",
"postal_code": "791244913",
"country_code": "US",
"telephone_number": "240-330-0728",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VOUFFO",
"first_name": "BERTIN",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-04",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "58660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.