Clendon W Pharr

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

6055511 Issued in AL

Practice address

6784 Haley Dr
Mobile, AL 36618-4904

Phone

(251) 591-0533

Fax

(251) 650-1624

NPI assigned

Apr 25, 2022

Last updated

Apr 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Pharr Advanced Logistics LLC

  • Non-emergency Medical Transport (VAN)
  • Mobile, AL
  • NPI 1598531964
  NPD Authorized official
• Cerenity Residential LLC

  • Assisted Living Facility
  • Eight Mile, AL
  • NPI 1497464978
  NPD

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1770227779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6784 HALEY DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366184904",
            "telephone_number": "251-591-0533",
            "fax_number": "251-650-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6784 HALEY DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366184904",
            "telephone_number": "251-591-0533",
            "fax_number": "251-650-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHARR",
        "first_name": "CLENDON",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AL",
            "license": "6055511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Co Pham, PHARMD
• My an T Pham, PHARMD
• Marye Cynthia Pharez, C.R.N.P.
• Pharmacy Services Divirsified Inc (Medicap Pharmacy)
• Pharr Advanced Logistics LLC
• Freddreka Pharr
• Martha Bomboy Pharr, M.S.
• Phases, LLC
• Be Phetsinorath, D.C.
• Caleb Phillips

• Non-emergency Medical Transport (VAN) in Mobile, AL
• Providers in Mobile, AL by specialty
• Non-emergency Medical Transport (VAN) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.