Fadi Bashir Hamdan Tammous

Primary specialty

PharmacistTaxonomy code 183500000X

License

49800 Issued in TX

Practice address

11700 US Highway 380
Crossroads, TX 76227-4642

Phone

(940) 488-7011

Fax

(940) 488-7012

NPI assigned

Oct 7, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

  dba Walgreens #21605

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

  dba Walgreens #02911

  • Pharmacy
  • Milwaukee, WI
  • NPI 1952316002
  NPD (past)

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1861776825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 US HIGHWAY 380",
            "city": "CROSSROADS",
            "state": "TX",
            "postal_code": "762274642",
            "telephone_number": "940-488-7011",
            "fax_number": "940-488-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 US HIGHWAY 380",
            "city": "CROSSROADS",
            "state": "TX",
            "postal_code": "762274642",
            "telephone_number": "940-488-7011",
            "fax_number": "940-488-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMMOUS",
        "first_name": "FADI",
        "middle_name": "BASHIR HAMDAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-07",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "16137-040",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "49800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joycelyn Grace Seybold, M.S. CCC/SLP
• George Golajer Silvosa, FNP-C
• Lekeisha Delynn Smith
• Pratik Soni, D.C
• Stat Surgical Solutions, LLC
• The Idle Company LLC (Success On The Spectrum Cross Roads)
• Tri Lestari Tolar, LPC
• Amy Tran
• Umar Latif MD PA
• Kimberly Vang, OD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.