Active NPI
Bao an Huynh
- Pharmacist
- Beaumont, TX
National Provider Identifier
1457240004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 63091
- Practice address
- 3605 College St
Beaumont, TX 77701-4617 - Phone
- (409) 832-7374
- NPI assigned
- Jun 30, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 63091 | TX | Primary |
Addresses
Primary practice location
3605 College St
Beaumont, TX 77701-4617
Mailing address
5220 Brigitte CT
Groves, TX 77619-3200
Phone (225) 270-4961
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
| License | State | Type | Specialty |
|---|---|---|---|
| 63091 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1457240004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5220 BRIGITTE CT",
"city": "GROVES",
"state": "TX",
"postal_code": "776193200",
"telephone_number": "225-270-4961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 COLLEGE ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777014617",
"telephone_number": "409-832-7374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "BAO AN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-06-30",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "63091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.