Individual provider Active NPI

Kamal D. Bhakta, PHARM.D.,R.PH.,MBA

  • Pharmacist
  • Lubbock, TX
National Provider Identifier
1801057260
Registry record updated Feb 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
45446 Issued in TX
Practice address
4000 24TH St
Lubbock, TX 79410-1894
Phone
(806) 725-6770
NPI assigned
Jun 18, 2008
Last updated
Feb 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1351OtherNMNM PRECEPTOR
TX PRECEPTOROtherTXTX PRECEPTOR
165940OtherNABP
AZ PRECEPTOROtherAZAZ 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

LicenseStateTypeSpecialty
S017078AZMDPharmacist
RP00007066NMMDPharmacist

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

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.

Verify at the official NPI Registry.