Bahati Fernandez, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

051291921 Issued in IL

Practice address

4626 W Diversey Ave
Walmart Pharmacy
Chicago, IL 60639-1829

Phone

(773) 628-1883

Fax

(773) 628-1884

NPI assigned

Dec 1, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walmart Inc.

  • Community/Retail Pharmacy
  • Chicago, IL
  • NPI 1346581337
  NPD (past)
• Walmart Inc.

  • Community/Retail Pharmacy
  • Eastvale, CA
  • NPI 1770458945
  NPD (past)

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1356748735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 W DIVERSEY AVE",
            "address_2": "WALMART PHARMACY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606391829",
            "telephone_number": "773-628-1883",
            "fax_number": "773-628-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 W DIVERSEY AVE",
            "address_2": "WALMART PHARMACY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606391829",
            "telephone_number": "773-628-1883",
            "fax_number": "773-628-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "BAHATI",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051291921",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "033269823",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gonzalo Fernandez Christlieb, MD, MPH
• Hayley Lynn Fernandez de Cordova, PA-C
• Irene Fernandez Gil, RDN LDN
• Inti Fernandez Hoyos, MD
• Fernandez Therapy LLC
• Carlos M Fernandez, MD
• Claire Fernandez
• Elizabeth Berenice Fernandez
• Emily Rose Fernandez, LCSW
• Eric Fernandez

• Pharmacist in Chicago, IL
• Providers in Chicago, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.