Bao H Pham, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

39887 Issued in TX

Practice address

4121 Harwood Rd
Bedford, TX 76021-4021

Phone

(817) 571-6995

Fax

(817) 571-8583

NPI assigned

Oct 31, 2009

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

Credentials

Registered Pharmacist

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 and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Bedford, TX
  • NPI 1588671473
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1256947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256947200000",
    "number": "1770819401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 HARWOOD RD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214021",
            "telephone_number": "817-571-6995",
            "fax_number": "817-571-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 HARWOOD RD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214021",
            "telephone_number": "817-571-6995",
            "fax_number": "817-571-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "BAO",
        "middle_name": "H",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-31",
        "last_updated": "2009-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "39887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter E. Grays MD Surgical Center PA
• John Michael Peters, M.D.
• Michael Peters, L.P.C.
• Jerry Peterson, COTA
• Tonya A Pettie, CHW
• Hung Pham, PMHNP-BC
• Long Pham
• Bounphet Phengdara
• Physician House Calls of Texas LLC
• Physicians Choice Infusion Clinic PLLC

• Pharmacist in Bedford, TX
• Providers in Bedford, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2009; 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.