Daniel Bourn
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Humble, TX
NPI 1508465816 · NPPES record last updated Jul 10, 2026
Key facts
- NPI
- 1508465816
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 50337 (TX)
- Practice address
- 9475 FM 1960 Bypass Rd W
Humble, TX 77338-4035 - Phone
- (281) 973-5090
- NPI assigned
- Oct 19, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50337 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Texas LP | Past |
Accepting new patients | |
| Kroger Texas L P | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 50337 | TX | Yes |
Addresses
Primary practice location
9475 FM 1960 Bypass Rd W
Humble, TX 77338-4035
Mailing address
9475 FM 1960 Bypass West Rd
Humble, TX 77338-4035
Other providers in Humble, TX
- Megan Jayne Borigo
- Karen Criselda Borja-Alcantara
- Katharine Grace Borthick
- Erin Leigh Boston
- Taylor Boswell
- William Bowie Jr.
- Letitia Washington Bowman
- Tierra Boyd
- Marguerite Regan Braaten
- Doris Gail Brackins
All providers in Humble, TX · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.