Individual provider Active NPI

Baokhanh N. Ho

  • Pharmacist
  • Dacula, GA
National Provider Identifier
1407473895
Registry record updated Dec 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH030263 Issued in GA
Practice address
575 Dacula Rd
Dacula, GA 30019-2125
Phone
(770) 962-2077
Fax
(770) 962-2171
NPI assigned
Jul 1, 2020
Last updated
Dec 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH030263 GA Primary

Addresses

Primary practice location

575 Dacula Rd
Dacula, GA 30019-2125

Mailing address

575 Dacula Rd
Dacula, GA 30019-2125
Phone (770) 962-2077

Other practice location 1

2414 Sylvester Hwy
Albany, GA 31705-2469
Phone (229) 430-9119

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

LicenseStateTypeSpecialty
RPH030263GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Nov 7, 2025 Accepting new patients
Walgreen Co PastSince Jul 1, 2020 Accepting new patients

Locations

2414 Sylvester Hwy
Albany, GA 31705
Phone (229) 430-9119

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671235200000",
    "number": "1407473895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 DACULA RD",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300192125",
            "telephone_number": "770-962-2077",
            "fax_number": "770-962-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 DACULA RD",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300192125",
            "telephone_number": "770-962-2077",
            "fax_number": "770-962-2171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2414 Sylvester Hwy",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "317052469",
            "country_code": "US",
            "telephone_number": "229-430-9119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HO",
        "first_name": "BAOKHANH",
        "middle_name": "N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-01",
        "last_updated": "2022-12-17",
        "certification_date": "2022-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH030263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.