Charles William Bode Jr.
Individual provider Active NPI Pharmacist · Beeville, TX
NPI 1346844685 · NPPES record last updated Nov 27, 2020
Key facts
- NPI
- 1346844685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 17734 (TX)
- Practice address
- 502 E FM 351
Beeville, TX 78102-2214 - Phone
- (361) 362-0661
- NPI assigned
- Nov 27, 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 |
|---|---|---|---|
| 17734 | TX | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17734 | TX | Yes |
Addresses
Primary practice location
502 E FM 351
Beeville, TX 78102-2214
Mailing address
502 E FM 351
Beeville, TX 78102-2214
Other providers in Beeville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 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.