Bo Song, PHARM. D

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

63954 Issued in TX

Practice address

6616 FM 1488 Rd
Magnolia, TX 77354-1399

Phone

(936) 321-9870

NPI assigned

Feb 16, 2010

Sex

Female

Sole proprietor

Yes

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.

• Kroger Texas L P

  • Community/Retail Pharmacy
  • Magnolia, TX
  • NPI 1760555296
  NPD (past)
• Kroger Texas LP

  • Community/Retail Pharmacy
  • Fort Worth, TX
  • NPI 1407747439
  NPD (past)

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1407178692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31412 LONGWOOD PARK LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6616 FM 1488 RD",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773541399",
            "telephone_number": "936-321-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "BO",
        "name_prefix": "Mrs.",
        "credential": "PHARM. D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-16",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "63954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sleep Specialists of the Woodlands LLC
• Smiles LLC
• Kacey Smith, M.S. CCC-SLP
• Shakeilla Lavern Smithbey, M.D.
• Itzel Solis, M.D.
• Nicole Sontheimer, PT
• Hasaan Sorathia, DMD
• Ernest E Sorenson, DPM
• Ariadna Soto
• Soul Care Counseling Magnolia PLLC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.

Verify at the official NPI Registry.