Active NPI
Kamal D. Bhakta, PHARM.D.,R.PH.,MBA
- Pharmacist
- Lubbock, TX
National Provider Identifier
1801057260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45446
- Practice address
- 4000 24TH St
Lubbock, TX 79410-1894 - Phone
- (806) 725-6770
- NPI assigned
- Jun 18, 2008
- Last updated
- Feb 2, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP00007066 | NM | |
| Pharmacist | 183500000X | S017078 | AZ | |
| Pharmacist | 183500000X | 45446 | TX | Primary |
| Health Educator | 174H00000X |
Addresses
Primary practice location
4000 24TH St
Lubbock, TX 79410-1894
Mailing address
4015 22ND PL
Lubbock, TX 79410-1119
Other practice location 1
702 SW 8th St
Bentonville, AR 72716-4200
Phone (806) 793-3001
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1351 | Other | NM | NM PRECEPTOR |
| TX PRECEPTOR | Other | TX | TX PRECEPTOR |
| 165940 | Other | NABP | |
| AZ PRECEPTOR | Other | AZ | AZ PRECEPTOR |
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
- Master of Business Administration, Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S017078 | AZ | MD | Pharmacist |
| RP00007066 | NM | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580601600000",
"number": "1801057260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 22ND PL",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 24TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101894",
"telephone_number": "806-725-6770"
}
],
"practiceLocations": [
{
"address_1": "702 SW 8th St",
"address_purpose": "LOCATION",
"city": "Bentonville",
"state": "AR",
"postal_code": "727164200",
"country_code": "US",
"telephone_number": "806-793-3001",
"fax_number": "806-793-2571",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BHAKTA",
"first_name": "KAMAL",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "PHARM.D.,R.PH.,MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-18",
"last_updated": "2020-02-02",
"certification_date": "2020-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00007066",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S017078",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "45446",
"primary": true
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NM PRECEPTOR",
"identifier": "1351",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX PRECEPTOR",
"identifier": "TX PRECEPTOR",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "165940",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ PRECEPTOR",
"identifier": "AZ PRECEPTOR",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
- Sarah Louise Bevins, OTR/L
- Gabrielle Estelle Beyidi Noah
- Beyondfaith Homecare & Rehab LLC (Beyondfaith Homecare & Rehab of Wichita Falls)
- Beyondfaith Hospice of Lubbock LLC
- BG Anesthesia, P.a.
- Kartikkumar Bhakta
- Komal Tushar Bhakta, M.S.CCC-SLP
- Purvi Ravindra Bhakta, PHARM.D.
- Prakreeti Bhandari, MD
- Taru Bharadwaj
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.