Gildardo Santos Bazan Jr., PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

54572 Issued in TX

Practice address

701 E Ridge Rd
McAllen, TX 78503-1553

Phone

(956) 683-9392

NPI assigned

Nov 19, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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.

• CVS Pharmacy Inc

  • Pharmacy
  • Stafford, TX
  • NPI 1427931351
  NPD (past)
• Walgreen Co

  • Pharmacy
  • McAllen, TX
  • NPI 1356356430
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1356944664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E RIDGE RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E RIDGE RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031553",
            "telephone_number": "956-683-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZAN",
        "first_name": "GILDARDO",
        "middle_name": "SANTOS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-19",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "54572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatriz Bautista, NP
• Karen Baxter, PA
• Jean Domantay Bayabos, FNP-C
• Norma Lorraine Baylor Bocanegra, LVN
• Brenda C Bazan, FNP
• Natalia Bazan
• Stacy Marie Beach, CRNA
• Bearable Diagnostic Center, LLC
• Bearable Diagnostic Centers
• Alyssa K Beattie, BS, SLP-ASSISTANT

• Pharmacist in McAllen, TX
• Providers in McAllen, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.