Individual provider Active NPI

Hong Cam Brod, PHARM. D

  • Pharmacist
  • San Marcos, TX
National Provider Identifier
1770812406
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
40893 Issued in TX
Practice address
1700 Old Ranch Road 12
San Marcos, TX 78666-2502
Phone
(512) 393-3701
Fax
(512) 933-7073
NPI assigned
Dec 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 40893 TX Primary

Addresses

Primary practice location

1700 Old Ranch Road 12
San Marcos, TX 78666-2502

Mailing address

1700 Old Ranch Road 12
San Marcos, TX 78666-2502
Phone (512) 393-3701

Other practice location 1

27495 Ranch Road 12
Dripping Springs, TX 78620-4904
Phone (512) 858-1984

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
40893TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co PastSince Apr 3, 2022 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": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1770812406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 OLD RANCH ROAD 12",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786662502",
            "telephone_number": "512-393-3701",
            "fax_number": "512-933-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 OLD RANCH ROAD 12",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786662502",
            "telephone_number": "512-393-3701",
            "fax_number": "512-933-7073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27495 Ranch Road 12",
            "address_purpose": "LOCATION",
            "city": "Dripping Springs",
            "state": "TX",
            "postal_code": "786204904",
            "country_code": "US",
            "telephone_number": "512-858-1984",
            "fax_number": "512-858-5078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROD",
        "first_name": "HONG",
        "middle_name": "CAM",
        "credential": "PHARM. D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "40893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.