Individual provider Active NPI

Bryant Gajdos

  • Pharmacist
  • Harker Heights, TX
National Provider Identifier
1427457993
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
55471 Issued in TX
Practice address
601 Indian TRL
Harker Heights, TX 76548-1347
Phone
(254) 699-8592
NPI assigned
Aug 20, 2014
Last updated
Aug 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 55471 TX Primary

Addresses

Primary practice location

601 Indian TRL
Harker Heights, TX 76548-1347

Mailing address

601 Indian TRL
Harker Heights, TX 76548-1347

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
55471TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1427457993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 INDIAN TRL",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 INDIAN TRL",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481347",
            "telephone_number": "254-699-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAJDOS",
        "first_name": "BRYANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "55471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.