Active NPI
Bola Gohar
- Pharmacist
- Fort Worth, TX
National Provider Identifier
1609575307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 72033
- Practice address
- 7220 Blue Mound Rd
Fort Worth, TX 76131-4802 - Phone
- (817) 847-7329
- Fax
- (817) 635-8465
- NPI assigned
- Mar 1, 2023
- Last updated
- Mar 1, 2023
- Sex
- Male
- 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 | 72033 | TX | Primary |
Addresses
Primary practice location
7220 Blue Mound Rd
Fort Worth, TX 76131-4802
Mailing address
2240 Whistler Creek Dr Apt 411
Fort Worth, TX 76177-8231
Phone (682) 414-6974
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 |
|---|---|---|---|
| 72033 | TX | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past | Accepting new patients | |
| CVS Pharmacy, Inc. | 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, 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": "1677628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1609575307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 WHISTLER CREEK DR APT 411",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761778231",
"telephone_number": "682-414-6974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7220 BLUE MOUND RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761314802",
"telephone_number": "817-847-7329",
"fax_number": "817-635-8465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOHAR",
"first_name": "BOLA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-01",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "72033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.