Active NPI
Bill Poulos
- Pharmacist
- Corpus Christi, TX
National Provider Identifier
1356271555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 58006
- Practice address
- 13966 Blackbeard Dr
Corpus Christi, TX 78418-6321 - Phone
- (319) 936-4659
- NPI assigned
- May 20, 2026
- Sex
- Male
- 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 | 58006 | TX | Primary |
Addresses
Primary practice location
13966 Blackbeard Dr
Corpus Christi, TX 78418-6321
Mailing address
13966 Blackbeard Dr
Corpus Christi, TX 78418-6321
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 |
|---|---|---|---|
| 58006 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779235200000",
"number": "1356271555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13966 BLACKBEARD DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784186321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13966 BLACKBEARD DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784186321",
"telephone_number": "319-936-4659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POULOS",
"first_name": "BILL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-20",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "TX",
"license": "58006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.