Travis Whiteside, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

16737 Issued in AL

Practice address

3551 Roger Brooke Dr
Dept of Pharmacy, Brooke Army Medical Center (Bamc)
Ft. Sam Houston, TX 78234

Phone

(210) 916-7633

NPI assigned

Dec 2, 2011

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1518235753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2747 ARTILLERY POST RD",
            "address_2": "UNIT C",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782342682",
            "telephone_number": "334-329-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "address_2": "DEPT OF PHARMACY, BROOKE ARMY MEDICAL CENTER (BAMC)",
            "city": "FT. SAM HOUSTON",
            "state": "TX",
            "postal_code": "78234",
            "telephone_number": "210-916-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITESIDE",
        "first_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-02",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "16737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina E Western, RDN
• Meocha Whaley, MLS
• Rochelle Stevenson Whitaker, LCSW
• Allison White, DPT
• Nancy Ann White, LCSW
• Daniel Whitfield
• Christina Diann Whitmire, PH.D.
• Duane Lloyd Wieding, L.P.T.
• Andre Wielemaker, PH.D.
• Laura Wiessenberger, MD

• Pharmacist in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.