Active NPI
Duc Duy DO, RPH
- Pharmacist
- Bedford, TX
National Provider Identifier
1790385433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 38789
- Practice address
- 2108 Bedford Rd
Bedford, TX 76021-5711 - Phone
- (817) 283-7529
- Fax
- (817) 283-5431
- NPI assigned
- Oct 30, 2020
- Last updated
- Oct 30, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS54866 | FL | |
| Pharmacist | 183500000X | 38789 | TX | Primary |
Addresses
Primary practice location
2108 Bedford Rd
Bedford, TX 76021-5711
Mailing address
2740 Bridgemarker Dr
Grand Prairie, TX 75054-7262
Phone (682) 553-9754
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38789 | TX | MD | General Practice Dentistry |
| PS54866 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores Texas, LLC | Past | Accepting new patients | |
| Wal-Mart Stores Texas LLC | 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.
-
dba Walmart Pharmacy 10-3392
- Community/Retail Pharmacy
- Bedford, TX
- NPI 1487673497
-
dba Walmart Pharmacy 10-1484
- Community/Retail Pharmacy
- Melissa, TX
- NPI 1386521797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604016000000",
"number": "1790385433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2740 BRIDGEMARKER DR",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750547262",
"telephone_number": "682-553-9754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108 BEDFORD RD",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760215711",
"telephone_number": "817-283-7529",
"fax_number": "817-283-5431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DO",
"first_name": "DUC",
"middle_name": "DUY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-30",
"last_updated": "2020-10-30",
"certification_date": "2020-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS54866",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "38789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.